The first stage of election is at the level of the NHG, which decides on the 5 office bearers. The office bearers of an ADS then meet together to elect the 7 member executive committee of the ADS. Each executive committee of the ADS selects its representative to the CDS, who in turn elects from among themselves the Chairperson and Vice-Chairperson of the CDS. At every stage the elections are independently held by the network. The whole process of election is notified by the District Collector.