PM Street Vendor’s AtmaNirbhar Nidhi(PM SVANidhi)

(Request for Issue of Letter of Recommendation)

Application No. AS/249933/230809/5168503 Name as per Aadhaar* Gouranga Das

Father/Spouse Name* sri nibas das Date Of Birth* 20/11/2004

Marital Status* Single Mobile Number* 6901812935

Gender* Male Social Category* SC

Persons with Disabilities (Divyangjan)* Minority*

KYC Details

Aadhaar No*

776740746915

Address as per e-KYC

House No. / Locality* TARAPUR PART I, SILCHAR State* ASSAM

Town/Dist* CACHAR Ward/Village* Tarapur Pt I

Pin Code* 788003

Current Address

House No. / Locality* TARAPUR PART I, SILCHAR State* ASSAM

Town/Dist* CACHAR Ward/Village* Tarapur Pt I

Pin Code* 788003

Vending Activity

Name Of Activity* Beauty and fashion Accessories Other

Place Of Vending* Fixed Location Duration Of Vending* 08/2019

Vending Days* All Days Timing of Vending* 09:00 - 20:00

Location/Area of Vending

Stationary Vendor* tarapur tv center road Nearest Landmark* malini beel

Mobile Vendor* Nearest Landmark*

Location/Area of Vending

State * ASSAM Name of the ULB* Silchar Municipality

Ward Name malini beel Ward Number * 27

Pin Code* 788003

Family Details

Name* Relationship With Applicant* Age*

Proof Of Vending

Name Select

Proof of receiving one-time assistance during lockdown (Copy of Bank Account Statement / Pass Book)

Membership details of any street vendors association (Copy of the Membership Card / any other proof of membership)

Any other document in possession of the vendor of ULB, to substantiate as a vendor (Any Other Document To Substantiate Claim as a Vendor)

Request for Local enquiry report by the TVC/ULB (Request letter to the ULB)

Proof of Current Address

Declaration and Authorization:

A. I have been vending in the urban local body on or before “Vending Since (08/2019) selected by SV”.
B. I hereby declare that the above information is correct / accurate to the best of my knowledge.

Date : 09/08/2023 Signature of Applicant(s)

Place : CACHAR