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  • Performa For Each Familv Unit Survey As Per Portal COVID-19: No. SR

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    Bhupesh Chohan
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    This document contains a survey form to collect information about family units to assess their needs and eligibility for assistance during the COVID-19 pandemic. The form collects identifying information like address, occupation, annual income. It then asks if the family needs ration, financial assistance, or wants to donate to relief funds. Additional family members can be added with their Aadhar number, name, age, gender, mobile number and relationship to the head of family.

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    Performa

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    This document contains a survey form to collect information about family units to assess their needs and eligibility for assistance during the COVID-19 pandemic. The form collects identifying information like address, occupation, annual income. It then asks if the family needs ration, financial assistance, or wants to donate to relief funds. Additional family members can be added with their Aadhar number, name, age, gender, mobile number and relationship to the head of family.

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    © All Rights Reserved
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    Download as pdf or txt
    11 views1 page

    Performa For Each Familv Unit Survey As Per Portal COVID-19: No. SR

    Uploaded by

    Bhupesh Chohan
    This document contains a survey form to collect information about family units to assess their needs and eligibility for assistance during the COVID-19 pandemic. The form collects identifying information like address, occupation, annual income. It then asks if the family needs ration, financial assistance, or wants to donate to relief funds. Additional family members can be added with their Aadhar number, name, age, gender, mobile number and relationship to the head of family.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Performa for each familv unit survey as per Portal COVID-19

    Link Address http://covidunit.edisha.gov.in/

    1 Survey House No. Occupation Code


    2 Aadhar Card No. 1. Farmer 8. Govt. /PSU Regular Employee
    3 House No. 2. Landowner 9. Unorganized Labor
    4 Street No. 3. Landowner Farmer 10. Construction Worker
    5 PIN Code 4. Agriculture Labor 11. Other Labor
    6 Address 5. Private Contractual Labor 12. Housewife
    7 District 6. Shopkeeper/Trader/Businessmen 13. Student
    8 Block/Town 7. Industrial Labor 14. Infant
    9 Ward/Village 15. Unemployed
    10 Name of Family Head
    11 Father/Husband Name After Data saved Successfully:-
    12 Age 1. Whether family needs ration assistance. Yes/No
    2. Whether family needs financial assistance Yes/No
    3. Whether family wants to donate to CORONA relief fund. Yes/No
    4. Approx, annual income of family.

    Add Member Detail


    Aadhar Card No. First Name and Last Name Age Gender Mobile No. Relation Father First Name Father Last Occupation
    Sr. with Head Name Code
    No. (Given
    above)
    1
    2
    3
    4
    5
    6
    7

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