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PMJWB Sihri Awvws Xojnw-2017: Adin, MKWN Lei Shwieqw Muh Eiaw Krvwaux Lei Propwrmw (LWBPWQRW Di Lonvidi Sucnw/Vyrvw)

This document contains a beneficiary application form for seeking housing assistance under the Pradhan Mantri Awas Yojana - Housing for All (Urban) scheme. The 3 sentence summary is: The form requests personal details of the applicant such as name, age, address, bank details, income sources, and other information to determine eligibility for housing assistance. Supporting documents such as Aadhaar card, voter ID, income proofs and caste certificates if applicable must also be provided. The applicant declares that the information provided is true and undertakes responsibility for any incorrect or false information.

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0% found this document useful (0 votes)
64 views4 pages

PMJWB Sihri Awvws Xojnw-2017: Adin, MKWN Lei Shwieqw Muh Eiaw Krvwaux Lei Propwrmw (LWBPWQRW Di Lonvidi Sucnw/Vyrvw)

This document contains a beneficiary application form for seeking housing assistance under the Pradhan Mantri Awas Yojana - Housing for All (Urban) scheme. The 3 sentence summary is: The form requests personal details of the applicant such as name, age, address, bank details, income sources, and other information to determine eligibility for housing assistance. Supporting documents such as Aadhaar card, voter ID, income proofs and caste certificates if applicable must also be provided. The applicant declares that the information provided is true and undertakes responsibility for any incorrect or false information.

Uploaded by

kapil
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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pMjwb srkwr

pMjwb SihrI Awvws Xojnw-2017


ADIn, mkwn leI shwieqw muh~eIAw krvwaux leI pRoPwrmw
(lwBpwqrW dI loNVIdI sUcnW/vyrvw)
____________________________________________________________________________

(a) pirvwr sbMDI sUcnw:

1 pirvwr dy mu~KI dw nW:

2 ilMg:purS. fesqrItrWsjYNfr.

3 pqI/ipqw dw nW:

4 pirvwr dy mu~KI dI aumr:

5 mOjUdw pqw Aqy sMprk vyrvw:

(a) mkwn/PlYt nM:

(A) glI dw nW:

(e) vwrf nMbr/muh~ly dw nwm (jykr koeI hY):

(s) ipMf/ Sihr:. (h) ijlHw:

(k) mobwiel nM:

6 sQweI pqw Aqy sMprk vyrvw:

(a) mkwn / PlYt nM:


(A) glI dw nW:
(e) vwrf nMbr/muh~ly dw nwm(jykr koeI hY):

(s) ipMf/Sihr: (h) ijlw:

7 mOjUdw mkwn sbMDI vyrvw: Awpxw ikrwiedwr koeI hor

8 mkwn dI siQqI:
k~cw (Gws PUs, qrpwl, l~kV) A~D p~kw (sImyNt/jI.AweI.dI cwdr, twiel)
p~kw (sImyNt kMkrIt Aqy slyt/p~Qr)
9 mOjUdw kmirAW dI igxqI rsoeI qoN bgYr:

10 AwDwr kwrf nMbr, jykr nhIN hY qW votr AweI.fI kwrf/hor XUnIk AfYNntIiPkySwn nMbr jW
lwBpwqrI dy pYqrI ijly dy mwl ivBwg vloN mkwn dI mlkIAq dw srtIiPkyt:


11 pirvwr dy mYbrW dI igxqI Aqy aumr:

12 Drm: ihMdU muslmwn is~K iesweI jYn buD

jorwstrIAnjm hor koeI

13 jwqI: jnrl AnsUicq jwqI pCVI syRxI hor pCVIAW sRyxIAW

14 bYNk dy Kwqy sbMDI vyrvw:

(a) bYNk Kwqw nM:.

(A) bYNk Aqy SwKw dw nW:.

(e) bYNk dw AweI.AYP.sI.kof:..

15 ksbw/Sihr dy iv~c ijMny swlW qoN rih irhw hY:

0 qoN 1 swl 1 qoN 3 swl 3 qoN 5 swl 5 qoN 10 swl 10 swl qoN v~D

16 mOjUdw Gr dw swiej:
(kwrpYt eyrIAw vrg mItr iv~c)

17 kI qusI Apwhj ho? ..hWnW


18 ivvwihk drjw:
(ivvwihk, Ax-ivAwh, iek~lI mihlw/ivDvw)

19 kI pirvwr kol Bwrq dy iksy vI ih~sy ivc koeI mkwn hY?
.........................................................................hWnW
a) jy hW qW mkwn dw pqw (muh~lw/vwrf nM/Sihr/rwj:

A) jy hW qW mkwn dw rkbw vrg mItrW iv~c:

20 rojgwr sbMDI siQqI:

svY-rojgwr nOkrI pySw p~kI mjdUrI idhwVIdwr hor

21 pirvwr dI Aosqn mhInwvwr kmweI (rupey iv~c):

22 kI pirvwr kol bI.pI.AYl.kwrf hY?.......................hWnW

a) jykr hW, qW bI.pI.AYl.kwrf dw nMbr iliKAw jwvy:

23 pirvwr leI mkwn dI loV:


(nvW mkwn, mkwn iv~c vwDw)

24 jykr vwDw kIqw jwxw hY qW vwDy sbMDI vyrvw:
(ie~k kmrw/rsoeI/ieSnwnGr/toAwielt jW sMXukq rUp iv~c)

25 lwBpwqrI skIm dy iks ih~sy ADIn lwB lYxw cwhuMdw hY:
ivAwj iv~c irAwieq
BwgIdwrI iv~c irAwieq mkwn
svY mkwn dI auswrI/vwDy leI shwieqw
AnusUicq jwqI/pCVI sRyxI leI muPq mkwn

26* sMimilq mkwnW dI sUcI muqwibk lwBpwqrI dw it~n nMbr-AYs.eI.sI.sI muqwibk:


(jykr lwBpwqrI v~loN svY mkwn dI auswrI/vwDy leI shwieqw mMgI geI hY)


27 Preferred component of Mission under which beneficiary need assistance under PMAY-
HFA(U)
Credit linked subsidy Affordable Housing in Partnership
Beneficiary-led individual house construction/enhancement Free Housing for SC/BC
28* SECC
(SECC) Abridged Houselist Tin
(from SECC (If assistance under Beneficiary-led individual house construction/
enhancement)

pirvwr dy mu~KI dy hsqwKr/AgUMTy dw inSwn:

aukq sUcnw leI XU.AYl.bI.dy numwieMdy dy hsqwKr:

Document Checklist:

Poto
AwDwr kwrf
rwSn kwrf
votr AweI.fI.kwrf (Agr hY qW)
jnm srtIiPkyt/ invws srtIiPkyt
Bwrq iv~c ikqy vI gYr auplb~Dqw Gr leI svY GoSxw hlPIAw ibAwn
AwmdnI srtIiPkyt (isr& ey. AYc. pI. Aqy bI. AYl. sI. leI)
bYNk pwsbu~k
zmIn dsqwvyj / rijstrI (isr& bI. AYl. sI. leI)
jwqI sbMiDq srtIiPkyt (isr& AnusUicq jwqI Aqy pCVI sRyxI leI)

srvyAr dw nwm Aqyy hsqwKr:


svY GoSnw:

ieh qsdIk kIqw jWdw hY ik myry v~loN id~qI geI auprokq sUcnw shI vw drusq hY
Aqy ies iv~c koeI vI g~l CupweI nhI geI hY[ jykr myry duAwrw id~qI geI sUcnw
glq swbq huMdI hY qW mY sjw dw BwgIdwr hovWgw Aqy mYnUM imly swry lwB Kqm ho
jwxgy Aqy ies bwry myrw koeI dwAvw nhI hovygw[

not: lwBpwqrI nUM ieh AwriQk shwieqw aus vloN Awpxw AwDwr kwrf nMbr dyx
auprMq hI id~qI jwvygI[

* ieh sUcnw dPqr vloN BrI jwxI hY[

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