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UNEMPLOYMENT ALLOWANCE SCHEME:

The State Govt. is providing unemployment allowance @ Rs.200/- to Rs.300/- pm


to unemployed handicapped person having passed 8th class with diploma holder for six
months basis and Rs. 400/- to Rs. 600/- per month is being provided to blind persons
also:-

APPLICATION FORM FOR CLAIM OF UNEMPLOYMENT ALLOWANCE


FOR EDUCATED HANDICAPPED PERSONS REGISTERED IN
EMPLOYMENT EXCHANGE.

1. Name of applicant ( Capital) ----------------------------------------------------------


2. Father/husband name ---------------------------------------------------------
3. Temporary address --------------------------------------------------------
4. Permanent address ---------------------------------------------------------
5. Date of registration & date with Employment Exchange -------------------------
6. Category of National Vocational Trade ----------------------------------------
7. Educational qualification (Attached Certificates) ----------------------------------
8. Three attested signatures of applicant by Gazetted officer ---------------------
( Separately attached)
9. Attested domicile certificate duly attested by Gazetted Officer -------------------
10. Category of disability( physically handicapped/blind, deaf & dumb or
mentally retarded ---------------------------------------------------------

Signature of applicant

I -----------------Son/D/W of Sh.-------------------- permanent resident of -----------------


The.------------------ Distt.--------------- hereby declare as under: -

1. That my name has been registered in Employment Exchange----------- as per


particulars given above.
2. That I am not claiming any unemployment allowance from Govt.or any
organization working under Govt.
3. That I am unemployed and I shall inform the Director, Social Justice &
Empowerment Department, Haryana, Chandigarh on getting the job.
4. That I have not been dismissed from any Public Sector organization or semi Govt.
& Local Bodies and neither convicted under any charge, also not receiving any
pension from any source or Social Justice & Empowerment Department, Haryana.
5. That I am not getting education, training etc. from any recognized vocational
institution.
6. That I am Haryana domicile and residing in Haryana for 6 months before the date
of my registration.

OR
That I am Haryana domicile but temporary residing in Chandigarh for the last-----
Months/years.
7. That contents of my application are true and I assured to inform the Director,
Social Justice & Empowerment Department, Haryana upon any change.

DEPONENT

VERFICIATION

It is certified that contents of above affidavit are correct & true as per my belief
and nothing has been concealed thereon.

DEPONENT

ATTESTION

( Signature & stamp of attesting authority)


Registration certificate of Employment Exchange.

Certified that Sh./Km./Smt.---------------------- Son/D/W/ of ---------------------------


Resident of -------------------------------------------------- has been registered in
Employment Exchange ----------------- under the registration no.---------------
dated-------------- .

It is also certified that the applicant is unemployed and his name is registered in live
register of this Employment Exchange.

Signature employment Officer with stamp.


PROCEDURE

Eligibility criteria How & where to apply

1. Application form shall be attested by the 1. Application are sanctioned by the


Employment Officer if the applicant is respective DSWO every year.
Registered.

2. 70% or above disability. 2. The unemployment allowance


will be sent to the applicant house
through appropriate source.

3.Attestion of affidavit by Oath Commissioner


or Gazetted Officer.

Please contact Director, Social Justice & Empowerment Department, Haryana or


Concerned District Social Welfare Officer for any complaint/suggestion.