Six Step Validation Correction Application

Name of the Applicant: …………………………………………………………………………...

Aadhar Number: …………………………………………………………………………..............

Scheme Type: □YSR Cheyutha □YSR Rythu Bharosa □YSR Aarogyasri
□YSR Pension kanuka □Rice Card □House Sites □Jagananna Ammavodi
Grievance Type: (Please Tick□): □Land □Four Wheeler □Govt Employee/Pensioner
□Income Tax □Electricity □Withheld □CDMA □Age □Caste □New Enrollment
Brief Description of the Issue:

Address: …………………………………………………………………………...........................

…………………………………………………………………………...........................................

Mobile Number: …………………………………………………………………………...............

Signature of the Applicant

Documents:

1. Aadhar Xerox *
2. Supporting Document for the claim *