JAGANANNA VIDHYA DEEVENA-FIVE STEP VERIFICATION

STUDENT AADHAAR NUMBER

STUDENT REGISTRATION NUMBER

STUDENT NAME
STUDENT FATHER NAME
PART-1 Confirmation of Studying in the College and Course

College Name

Course Name
Course Year

PART-2 Confirmation Mother/Guardian Bank Account Details

MOTHER/GUARDIAN

MOTHER NAME
MOTHER Aadhaar

MOTHER Bank Account Number

MOTHER Bank Account IFSC

Bank Account Must Belong To Mother (Gaurdian Account is allowed only when mother expired.)

PART-3 SIX STEP VALIDATION

Is any Family Member a Government
Employee/Pensioner YES NO

Is Any Family Member Paying Income Tax YES NO

Is Four Wheeler Owned by family Member YES NO

Is Land Holding By the Family Beyond Permitted
Limits (i.e 25 acres of Dryland or 10 acres of YES NO
Wetland or 25 acres of Dryland and Wetland):
Is Family Owning Property(Commercial/Residential)in
Urban Area beyond Permitted Limit (i.e more than 1500 YES NO
sqfeet builtup area)

Family's Total Income Per Annum YES NO

 PART-4 Mobile Number And Address Verification

Mobile Number Of Student for Communication

Mobile Number Of Mother for Communication

MUNICIPALITY/GRAMAPANCHAYAT WARD NUMBER

DOOR NO STREET/VILLAGE

COLONY PIN CODE

PART-5 Entry of Family Members Details

RICE CARD NUMBER

NUMBER OF MEMBERS IN RICE CARD

MOBILE
S.NO NAME AADHAAR AGE GENDER RELATION EDUCATION OCCUPATION NUMBER

NAME OF VOLUNTEER STUDENT SIGNATURE

SIGNATURE OF VOLUNTEER FATHER SIGNATURE