Merapath Education Limited

PMAY –G (Pradhan Mantri Awas Yojana -Gramin)

APPLICANT FORM
DATE ------------------------------------

MOBILE NO.. …………………………………………… COURSE NAME………………………………………

APPLICANT NAME …………………………………… FATHER NAME ……………………………………….

MOTHRE NAME ………………………………………… GUARDIAN TYPE…………………………………….

MARITAL STATUS………………………………………. DATE OF BIRTH ………………………AGE……….

EDUCATION ……………………………….. ALTERNET MOBILE …………………………………………………..

GENDER - MALE FEMALE CASTE CATEGORY ----- SC OBC GEN ST

RELIGION ………………………………………........ AADHAR NO……………………………………………

TRAINEE ADDRESS………………………………………………………………………………………………………

DISTRICT ……………………………………………… STATE…………………………………………………

BLOCK/TAHSIL…………………………………………… GRAM PANCHAYAT……….…………………………

PIN CODE………………………………………………… OCCUPATION...……………………………………….

AC HOLDER NAME ……………………………………… AC.NO……………………………………………….....

BANK NAME ……………………………………………… BANK ADDRESS…………………………………….

EXPERIENCE …………………………………………….

1- ADDHAR CARD
2- BANK PASSBOOK

Supervisor Signature Applicant Name / Signature