Home
35 Selegie Road #04-01, Parklane Shopping Mall, Singapore 188307 | TEL : +65 6338 4890 | FAX : +65 6338 4870 | EMAIL : cccsl@singnet.com.sg
Apply For Hospitalization Benefit Claim
Privileges>>Apply For Hospitalization Benefit Claim
*Compulsary fields
Voucher No : *
I ELIGIBILITY

a) All members of the Society are entitled to re-imbursement of ward charges of $20.00 per day for a maximum of 30 days. The member must be hospitalized in a Government or Private Hospital.

b) Hospitalization claim must be supported by medical bill issued by the hospital and must be submitted within 90 days of 1st day of Admission to Hospital.

c) Each member is entitled to 1(one) claim per year from the Common Good Fund.


II MEMBER'S PARTICULARS
Full Name : *
Membership No : *
NRIC No. : *
Name(Hospital) : *
Date Admitted : *
Date Discharged : *

III ACKNOWLEDGEMENT

Received the sum of $ Vide Cheque No: in respect of the above claim.

Date : *
Please click here for Download Hospitalization Benefit Claim and mail it to us.

 

 

 

 

Free Web Counter