DECLARATION

• I agree that by filling this form I have registered myself as the main member & others mentioned in the form as my family members to avail entire services/discount facilities in different healthcare portfolios managed under "E-Reliant Solutions (OPC) Private Limited" banner.
• I am aware of the benefits of becoming a privileged/ registered card holder of the Sathi health card and I have willingly chosen to enrol myself and my family members without any form of deceit or coercion.
• I am aware that I can become a registered member for the price of one rupee and can avail the benefits of a registered member ( click here for benefits of a registered member- make this hyperlink to the page detailing benefits of both cards ).
• I have the option of cancelling my registered membership at any time and I can do so via a phone call or sms to (671-2950295/9776950295).
• I am aware that I can at any time choose to become a privileged card member for a one time price of Rs 999/- for a period of one year and I shall renew the same before expiry to continue to avail facilities as a privileged member.
• And that as a privileged card member I can avail the entire range of services and facilities available to every privileged card member ( click here for benefits of a registered member- make this hyperlink to the page detailing benefits of both cards).
• I have the option of cancelling my privileged membership at any time and I can do so via a phone call or sms to (put hone number here) within a period of 30 days or prior to availing the benefits / services of e-reliant solutions on two or more occasions.
• To avail the facilities through E-Reliant Privilege Card at all the designated franchise outlets & service points I shall be produce my membership card along with my Id proof( PAN Card/ Aadhaar card/ drivers licence/ voter card/ ration card/ college or university student card) or id proof of any member whose name is mentioned in the card.
• I have understood that as a privileged member every person mentioned in the card is authorised to avail benefits & facilities ONLY AND ONLY FROM the service points/outlets networked by "E-Reliant Solutions (OPC) Private Limited" and not any other sources as per my will & pleasure.
• I have understood that the membership charges applicable for annual subscription are inclusive of GST@18% collected by the principal company.
• I have understood as a privileged member not to make any irrational & unlawful claims from the service provider of their associated service outlets which is out of this service contract.
• The service provider "E-Reliant Solutions (OPC) Private Limited" shall only function as a facilitator for healthcare related services shall neither be liable to pay in any manner for any/all services I shall avail as a privileged card member nor I shall make any such unlawful claims against service provider.
• I am aware that other than the six names mentioned in this form no other family member is eligible to avail any benefits of this card. However I am aware that I can enrol other family member on another card and there is no limit to the number of cards I can have as long as each card has a maximum of six names on it.
• I do here by declare that the information given by me is true to the best of my knowledge..

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