Application form for availing emergency treatment of Disaster management scheme:

Before submitting the below application form, send an email to [email protected] with the following details and get confirmation from M/s. Gurukripa Enterprises on the advance treatment cost via email. Deposit the advance treatment cost as per the above confirmation email in the bank account of M/s. Gurukripa Enterprises as given in our official website (www.gurukripayogictreatment.com). Then fill the below application form with the details of payment remitted.

Note: Application forms submitted without getting confirmations on the above details, will not be accepted.

Details to be communicated via email prior to submitting the application form:

  1. Brief description about the accident
  2. Approximate number of people affected by the accident
  3. Location of the accident (location, state, nation)
  4. Approximate time of the accident in IST
  5. Contact person’s phone number (with STD and ISD codes)
  6. Contact email id
  7. Name of the sponsor (Central govt/ state govt/ local governing authorities/ institutions/ organizations etc)

Application form after getting confirmation on the advance treatment cost from M/s. Gurukripa Enterprises:

Online application form coming soon..

Until then send email with the below details.

  1. Brief description about the accident
  2. Location of the accident (location, state, nation)
  3. Approximate time of the accident in IST
  4. Contact person’s phone number (with STD and ISD codes)
  5. Contact email id
  6. Name of the sponsor (Central govt/ state govt/ local governing authorities/ institutions/ organizations etc)
  7. Details of payment remitted
  8. Advance treatment cost as confirmed by M/s. Gurukripa Enterprises