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Microsoft Word - Application For Grant of Double Bed Room House-Application Form
Microsoft Word - Application For Grant of Double Bed Room House-Application Form
Microsoft Word - Application For Grant of Double Bed Room House-Application Form
Request Details
Food Security Card (FSC Ref) Number: ____________________________________________
Applicant Details
Name of the Applicant *:____________________ Relationship Name(S/O,W/O,D/O):- ________________
Aadhaar Number*: ____________________________ Gender *: Male Female
Age*: _____________________________
S.No.
Age
Aadhaar Number
Mandal*: _______________________________
Village*: __________________________
Ward*: ____________________________
Locality/Area *: ___________________________
Mandal*: _____________________________
__________________________________
If any member in the family sanctioned a house from the Government: Yes No
If yes, sanctioned house number *: ____________________________________________________
House Sanctioned Scheme: Indiramma -1 Indiramma -2 Indiramma -3 RGK JNNVRM
VAMBAY UPH Others
Mobile Number*: ________________________ Mail ID: _______________________________________
Documents List:
NOTE:
1.
2.
Application Form*
Passport Size photo *
Applicants Signature