Who fills it in
Only the categories printed on the form: S1 holders who are diplomats or staff of EU embassies in Cyprus and their family members; persons with NATIVE status (CAP 105); domestic staff of embassies; residence permit holders whose 'name' or 'nationality' field blocks online enrolment; and minors with a Cypriot birth certificate whose 'nationality' field does the same. The form says a paper request that could be made online will not be processed.
What goes with it
- Diplomats and EU embassy staff: diplomatic or non-diplomatic ID from the Ministry of Foreign Affairs and the white medical card from the Ministry of Health (the S1 is filed with the Ministry of Health)
- Their family members: the applicant's diplomatic ID, the diplomatic ID of the diplomat or staff member, and the white medical card
- NATIVE status: passport stamped by the Civil Registry and Migration Department with NATIVE (CAP 105) status, marriage certificate, ID of the spouse who is a GHS beneficiary, and proof of ordinary residence
- Domestic staff of embassies: the Ministry of Foreign Affairs ID, a Social Insurance statement of salary and contributions for at least the last two months, and proof of ordinary residence
- Name or nationality problem: valid residence permit and the evidence for that permit type
- Minors: birth certificate, the Cypriot ID or ARC of the parent who is a GHS beneficiary, and proof of ordinary residence
- Proof of ordinary residence is one of: electricity, home phone or water bills for the last three months; title deed, sale agreement or valid rental contract (all pages); last year's tax statement; or monthly Social Insurance statements for this and last year
- Foreign public documents with an apostille or diplomatic legalisation, and a Greek translation by a sworn translator of the Republic unless the document is in Greek or English
Field by field
A. Personal details (Α. PERSONAL DETAILS)
| On the form | What to write | Example |
|---|---|---|
| First name and last name, in capital Latin letters 1(α) First name* (IN CAPITAL LATIN LETTERS) / Last name* (IN CAPITAL LATIN LETTERS) | Mandatory. As in your passport or ID. | MARIA / EXAMPLE |
| Date of birth 1(β) Date of Birth* | Mandatory. Day / month / year. | 01/01/1985 |
| Nationality 1(γ) Nationality* | Mandatory. | BRITISH |
| Gender: M or F 1(δ) Gender*: M / F | Mandatory. Tick one. | F |
| Marital status 2(α) Marital Status*: single / separated / divorced / widowed / married | Mandatory. Tick one. | married |
B. Contact and address details (Β. CONTACT AND ADDRESS DETAILS)
| On the form | What to write | Example |
|---|---|---|
| Residence address 1. Residence Address: Street* / Number* / Flat nbr / Postal Code* / Municipality/Community* / District* / Country* | Your home address in Cyprus. Fields with * are mandatory. | Example Street / 1 / 2 / 3000 / Limassol / Limassol / Cyprus |
| Mailing address 2. Mailing Address: Street / Number / Flat number / Postal Code / Municipality/Community / Po Box / Po Box Post Code / District / Country | Only if letters should go somewhere else. | — |
| Home, work and mobile phone 3. Home Phone No / Work Phone No / Mobile Phone No | Give at least one telephone number. | — / — / +357 99 000000 |
| Email address Email Address* | Mandatory. The form says the HIO needs it to contact you. | maria@example.com |
| Next of kin: name and phone Next of Kin Name and Last Name* / Next of Kin Phone No* | Mandatory. Someone the HIO can contact. | JOHN EXAMPLE / +357 99 000001 |
| Communication language Communication Language*: Greek / English | Mandatory. Tick one. | English |
C. Beneficiary category (C. BENEFICIARY CATEGORY): complete only your case
| On the form | What to write | Example |
|---|---|---|
| (1) S1 holder at an EU embassy: diplomat, staff or family member; card number and expiry (1) S1 document holder, who is: (a) Diplomat / (b) Embassy staff / (c) Family Member of the above — Diplomatic/non diplomatic card number / Expiry date | Tick your role and copy the number and expiry date of the card from the Ministry of Foreign Affairs. | — |
| (2) NATIVE status: ARC number, or passport number if you have no ARC; expiry (2) Person with Status NATIVE: Alien Registration Certificate (ARC) number / Passport number (If no ARC is available) / Expiry date | For persons the Civil Registry and Migration Department recognised as NATIVE (CAP 105). | — |
| (3) Domestic staff of an embassy: card number and expiry (3) Domestic Staff working in Embassies in the Republic of Cyprus: Non diplomatic card number / Expiry date | The ID issued by the Ministry of Foreign Affairs. | — |
| (4) Residence permit holder blocked online by the name or nationality field: ARC number and expiry (4) Person who is registered at the CRMD and holds a valid residence permit, but there is an unsurpassable problem in the fields of 'name' or 'nationality' ...: Alien Registration Certificate (ARC) number (written on the residence permit) / Expiry date | For example, numbers in the name field. The form says the HIO will not use the paper route if the problem can be fixed. | ARC 0000000 / 31/12/2027 |
| (5) Minor with a Cypriot birth certificate and a nationality problem: personal number on the certificate (5) Minors (for whom at least one parent is an enrolled GHS beneficiary) with birth certificate ... problem in the field 'nationality': Personal Identification Number written on the birth certificate | Only for children of an enrolled GHS beneficiary. | — |
D. Documents submitted (D. DOCUMENTS THAT MUST BE SUBMITTED TO HIO)
| On the form | What to write | Example |
|---|---|---|
| Other documents you add, described You may submit any other document you believe is applicable for your specific case ... please state and describe the relevant document/s | List anything extra you send, for example a letter from your embassy. | Letter from employer embassy dated 01/10/2026 |
| VII. Low pension or minimum guaranteed income: certificate from the Ministry of Labour VII. Other evidence ... (a) Low Pension recipient or (b) Minimum Guaranteed Income Recipient: Recent Assurance/Certificate from the Ministry of Labour Welfare and Social Insurance | Only if one of these applies to you. | — |
E. Declarations and signature (Ε. DECLARATIONS)
| On the form | What to write | Example |
|---|---|---|
| Applicant's name, date and signature Applicant's Name and Last Name* / Date* / Signature* | You request enrolment, declare ordinary residence in the government-controlled areas and promise to report changes. Mandatory. | MARIA EXAMPLE / 23/10/2026 / M. Example |
| Representative: name, date, ID number, signature In case the enrolment request is submitted by a representative: Name and Last Name of Representative / Date / Identification Document number / Signature | Only if someone submits for you. | — |
| For a minor: give the parent access to the child's medical record In case this request is submitted on behalf of a minor child: ... check this box to declare whether you wish to give access to the child's medical record to the parent whose identification documents are submitted | Tick if the parent whose ID you attach should see the child's medical record once approved. | ☒ |
Common mistakes
- Sending the paper form when you could enrol online. The form says such requests will NOT be processed.
- Leaving out the email address. It is mandatory and the HIO uses it to contact you.
- Bills covering less than three months as proof of ordinary residence. The form asks for the last three months.
- Foreign certificates without an apostille, or without a sworn Greek translation when they are not in Greek or English.
- Evidence in your spouse's name only. Then the form asks for a mobile bill in your own name or a certified declaration of cohabitation.
Questions
Who can use the paper GHS enrolment request?
Only the categories on the form: S1 holders at EU embassies and their families, persons with NATIVE status, embassy domestic staff, and residence permit holders or minors whose name or nationality field blocks online enrolment.
Where do I send it?
By post to the Health Insurance Organisation, P.O. Box 26765, 1641 Nicosia, Cyprus, with the supporting documents.
I am a normal resident with a pink or Yellow Slip. Do I use this form?
No. The form says it is submitted only when the request cannot be made online and only for the categories it lists; a paper request that could be made online is not processed.
Can someone submit it for me?
Yes. The form has a section for a representative, who gives their name, ID number and signature.
Sources
- Health Insurance Organisation: beneficiary forms (paper GHS enrolment request), checked 23 October 2026
- Health Insurance Organisation: paper GHS enrolment request, form 3-002 (categories, documents, postal address), checked 23 October 2026
- Health Insurance Organisation: supporting documents for GHS beneficiary enrolment, checked 23 October 2026
- Health Insurance Organisation: beneficiary categories, checked 23 October 2026
Figures checked 23 October 2026. Rules change: we confirm them for your case before you act.