Академический Документы
Профессиональный Документы
Культура Документы
Caste*
Number *Mobile
Khadyasa
(Y/N) *Minority
(Y/N))Married
Sex*
yrs.)*Age (in
Name* Relation * with BPL URN Emp Aadhar number * Epic/Voter Signature*
thi ID or
SECC-ID
Status No, if of
(As per Aadhaar Card) Beneficiary RSBY loyee Card
(Y/N) beneficiary
enroll ID (if number
ed
any) *
Family Members: Beneficiary’s Spouse, Father, Mother, Father-in-law, Mother-in-law and dependent children
Caste: SC, ST, OBC, Others; Sex: M/F * …¢m Bh¢nÉL
*Signature of Institutional Head/ Block Office / Municipal Office
with seal Date
N.B L) Bf¢e ü¡ÙÛÉp¡b£ L¡XÑ f§hÑ fu b¡Lm Abh¡ AeÉl ü¡ÙÛÉp¡b£ L¡XÑ A¿¹Ñi¥š² b¡Lm f¤Zl¡u gjÑ c¡¢Mm Llhe e¡z M) Bf¢e 2014/2016
p¡m l¡oVÊ£u ü¡ÙÛÉ h£j¡ k¡Se¡ L¡XÑ fu b¡Lm Abh¡ AeÉl l¡oVÊ£u ü¡ÙÛÉ h£j¡ k¡Se¡ L¡XÑÑ A¿¹Ñi¥š² b¡Lm f¤Zl¡u gjÑ c¡¢Mm Llhe e¡z N)
HLSe hÉ¡¢š² öd¤j¡œ HL¢V L¡XÑÑC A¿¹Ñi¥š² b¡La f¡lhez