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Form for Online Registration for Allotment of Property under PMAY
Brochure Before Filling Application
Scheme Name
*
Gram-Dhakka Gata No-271,399
Gram-Shahpur Tigri Gata No-02
Gram-Sonakpur Gata No-811,856
Lakdi Fazalpur Gata No-2407/1
Name of Applicant
*
Father/Mother Name
*
Spouse Name
Registration No.
*
*
(*.jpg, *.jpeg, *.png file) upto 500 K.B.
Permanent Address
*
*
If Same,
Postal Address
Email Id
Mobile No
*
*
?
Aadhaar No
*
Upload Aadhar
*
(*.jpg, *.jpeg, *.pdf file) upto 500 K.B.
?
?
Gender
MALE
FEMALE
TRANSGENDER
Marital Status
MARRIED
SINGLE
SINGLE FEMALE / WIDOW
Age
D.O.B.
*
?
is Applicant handicapped
Yes
No
Upload Handicapped Proof
*
(*.jpg, *.jpeg, *.pdf file) upto 500 K.B.
Religion
Hindu
Muslim
Christian
Sikh
Jain
Buddh
Parsi
Other
*
Please tick below details
*
Ownership Details of Existing House
Own
Rent
Other
Type of The House Based on Roof Type
Pakka
Semi-Pakka
Kaccha
No. of Years of Stay in This Town/City
Upto 1 Year
1 to 3 years
3 to 5 years
More than 5 years
Employment Status
Self Employed
Salaried
Regular Wage
Labor
Other
Whether The Family Owns Any House/
Residential Land Anywhere in India
Yes
No
Area in Sq. Mtrs.
*
Numeric Only
Location Address
*
Location City
*
Does The Family Have a BPL Card
Yes
No
BPL Card No.
*
Upload Income Certificate of Applicant
*
(*.jpg, *.jpeg, *.pdf file) upto 500 K.B.
Name of Nominee
*
Spouse Aadhaar No. (If Married)
Spouse Aadhaar No.
Parent's Unique Identification No. (If Unmarried, Single/ Divorcee Woman )
Unique Identification Type
Unique Identification No.
Please tick for reseverd category & enclose the proof
(*.jpg, *.jpeg, *.pdf file) upto 500 K.B.
GENERAL
S.C.
S.T.
O.B.C.
O.C.
Note *
If You have ticked any category , Uploading of proof is mandatory .
Bank Account Details of Applicant
IFSC Code
*
*
Bank Account No
*
*
Bank Name
*
*
Branch
*
*
?
ONLINE REGISTRATION
Please tick for reseverd category & enclose the proof
M.P/M.L.A
GOVT. EMPLOYEE(Above 50 yrs)
LOCAL BODY EMPLOYEE
EX-ARMYMAN & THEIR DEPENDANT
DIFFERENTLY ABLED
SENIOR CITIZEN
Note *
If You have ticked any category , Uploading of proof is mandatory .
I declare that I have read all the terms and conditions mentioned in the brochure. I accept all the terms & conditions.
Upload Photo
*
Please Upload Photo*
Upload Sign
Upload Thumb Impression
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