Medical Aid

List of Documents

  • Proof of address of the patient and relative applying behalf of the patient
  • Proof of occupation of the patient and relative applying behalf of the patient
  • Doctor’s or Hospital Statement in original with details about the estimated cost of treatment
  • Hospital bills and Medical bills (not more than six months old) for expenses incurred in original
  • Recommendation letter of medical social worker/Hospital
  • Copy of income certificate of the patient and relative applying on behalf of the patient
  • Copy of PAN number of the patient or relative applying on behalf of the patient
  • Copy of latest Bank statement or updated pass book of patient or relative applying on behalf of the patient

How to Apply

  • Ensure you have the original documents as mentioned in the list above.
  • Download and print the application form by clicking on the link below.
  • Please note, incomplete forms without proper documents will not be accepted/considered by the Trust office.

 

Please complete the application form, and submit the necessary documents to:

Sir Ness Wadia Foundation

Wadia International Center (Bombay Dyeing),
Pandurang Budhkar Marg,
Worli – Mumbai
Phone: +91 22 66193436 / +91 22 6619 3438

(Monday to Friday – Between 10 AM to 1 PM)