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Pradhan Mantri Awas Yojana (PMAY)

Barshi Nagar Parishad,Barshi

Acknowledgment of receipt of the application

Application ID: 16006

Name of head of the family : Sunil Shankar Gaikwad

Sex : Male Age : 46

Applicant type : General Mobile No : 9922119068

Fathers name : Shankar Mareappa Gaikwad

Present Address and Contact Details : Permanent Address :

Bhavani Peth Prabhag No. 8 Bhavani Peth

Solapur Road barshi Solapur Road barshi barshi
barshi solapur maharashtra

Ownership details of existing house : Rent

Type of the house based on roof type : Semi-Pucca

(Asbestos/ Steel Sheet, Tiled)

Number of rooms in the dwelling unit excluding kitchen : 1

Identity Card Details

Aadhaar Card No. : 956983779536 Voter ID Card No. :MT/36/221/375541

-- : --

Family Information

Name Relation Age Gender Adhar No Voter IDNo Pan No

Snehalata Sunil Gaikwad Wife 39 Female 412746275116
Pruthviraj Sunil Gaikwad Son 24 male 531352038476
Dhanraj Sunil Gaikwad Son 22 male 997048473064
Kirtiraj Sunil Gaikwad Son 19 male 527549283774

Religion : Hindu Caste : General

Bank Details

Bank account number : 34704544246

Name of the Bank & Branch : State Bank Of India Barshi

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IFSC : SBIN0000325 MICR : --

Number of Years of Stay in this Town/City : More than 5 years

Size of existing dwelling unit (Carpet area in square meters) : --

Whether the family owns any house/residential land anywhere in India : No

Employment Status : Labour

Average yearly income of household (in Rs.) : 30000

Does the family have a BPL Card : False

Housing requirement of family : Enhancement

In case of enhancement, please specify enhancement required :

One room

Kitchen

Bathroom

Toilet

Does the family have Open plot : No

Preferred component of Mission under which beneficiary need assistance under PMAYHFA(U) :

Individual house construction ( component No 4)

Attatched documents

Self certified income certificate

Aadhar card

Voter ID Card

Affidavit undertaking on a rs. 100 stamp paper

bank pass book photocopy (with the IFSC)

Ration card

Date: 06-Apr-2017

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 Signature/Thumb
Impression of Head of
Household

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