ECHS Application Form – Fillable PDF

The Ex‑Servicemen Contributory Health Scheme (ECHS) provides quality medical care to retired defence personnel and their families. To join the scheme you need to complete the official application form. Our page lets you open the PDF directly in the Formize PDF Filler – no extra software required.

What Is the ECHS Application Form?

The form collects personal, service, and banking details required for ECHS enrollment. It is the same document used for all contractual appointments across regional centres, and it is updated regularly by the Ministry of Defence.

How to Fill the ECHS Form Online

1. Click the **"Fill out this form"** button below the description.
2. Wait a few seconds while the Formize PDF Filler loads the fillable PDF.
3. Enter your information in the highlighted fields – the filler automatically saves your entries.
4. Review the data, then click **Submit** to download a completed copy.
5. Print the completed PDF and attach it to your supporting documents, or submit the digital copy as instructed by your regional ECHS office.

Common Mistakes to Avoid

• Leaving mandatory fields blank – they are marked with an asterisk (*).
• Entering incorrect bank account numbers – double‑check the digits.
• Using an outdated version of the form – always use the latest PDF linked on this page.
• Skipping the signature field – the form is not valid without a digital or handwritten signature.

Eligibility & Required Documents

Before you start, make sure you have the following:

• Service number and retirement order.
• Identity proof (Aadhaar, PAN, or passport).
• Bank account details for ECHS contributions.
• Proof of residence (utility bill or rent agreement).

Download & Print Options

If you prefer a hard copy, you can download the PDF directly using the link below and print it on A4 paper. The fillable version works in any modern browser, so you can also complete it without printing.

Download the official ECHS application PDF