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    Biswas-PPP FORM - Compressed

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    biswa das
    This document contains details of a family including the head of household Santosh Kumar Das, his wife Anjali Das, and their two children Biswakalyana Das and Ankita Das. It includes identification details like Aadhaar numbers, dates of birth, addresses, occupations and income information for registering the family. Contact information like phone numbers and email addresses is also provided.

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    © All Rights Reserved
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    Biswas-PPP FORM - Compressed

    Uploaded by

    biswa das
    20 views2 pages
    This document contains details of a family including the head of household Santosh Kumar Das, his wife Anjali Das, and their two children Biswakalyana Das and Ankita Das. It includes identification details like Aadhaar numbers, dates of birth, addresses, occupations and income information for registering the family. Contact information like phone numbers and email addresses is also provided.

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    Biswas-PPP FORM_compressed

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    This document contains details of a family including the head of household Santosh Kumar Das, his wife Anjali Das, and their two children Biswakalyana Das and Ankita Das. It includes identification details like Aadhaar numbers, dates of birth, addresses, occupations and income information for registering the family. Contact information like phone numbers and email addresses is also provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views2 pages

    Biswas-PPP FORM - Compressed

    Uploaded by

    biswa das
    This document contains details of a family including the head of household Santosh Kumar Das, his wife Anjali Das, and their two children Biswakalyana Das and Ankita Das. It includes identification details like Aadhaar numbers, dates of birth, addresses, occupations and income information for registering the family. Contact information like phone numbers and email addresses is also provided.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 2

    District Administration, Gurugram

    A. Head of family (HOF) Details Family ID (if available)


    1.HOF Aadhaar No. 867482491037 (12 digit)
    2. Name (as in aadhaar) SANTOSH KUMAR DAS (Capital letters)
    3.Relation with HOF : SELF 4. Sex : Male/Female/Other5. Date of Birth : 18-02-1972
    6. Father Name: SURENDRA NATH DAS _
    7. Mother Name:LATE TILOTAMA DAS _ _
    8.***Marital Status :Married 9. Spouse Name: ANJALI DAS
    10.Caste Cate : Gen/SC/BC-A, BC-B /Oth 11.Divyang : Y/N 12.BPL : Y/N13.Govt. Employee : Yes/No
    14.Birth Place:Haryana / Outside Haryana (if Haryana then give below details)
    if HYR Distt. _ _ _Block/MC : _ _ _Village/Ward :_ _

    15.Residing in HRY Since : 2003 16.Qualification: B.COM


    17**.Occupation : PRIVATE INDUSTRY
    18.Annual Income : 8 lakhs
    19.Residence Add. : H.No.635,Gali No.88,Phase-II,Laxman Vihar,Gurgaon,Haryana
    20.Mobile No.: 9971497571 21.Email :[email protected]

    22.PAN No. : AGFPD4669K


    B. Please fill below information for all family members.
    Member-1 Details
    1.Aadhaar No. 300678594530 (12 digit)

    2. Name (as in aadhaar) ANJALI DAS (Capital letters)


    3*.Relation with HOF: WIFE 4. Sex: Male/Female/Other 5. Date of Birth :3-6-1974
    6. Father Name: _ SRIHARI MOHANTY

    7. Mother Name: HARAPRIYA MOHANTY

    8***. Marital Status :MARRIED 9. HUSBAND Name: Santosh Kumar Das


    10.Divyang : Yes/No11.Govt. Employee : Yes/No
    12.Birth Place:Haryana /Outside Haryana (if Haryana then give below details)
    if HYR Distt. _ Block/MC :_ Village/Ward :_ _
    13.Residing in HRY Since : 2003 14.Qualification:Bachlor of Arts
    15**.Occupation : Housewife 16.Annual Income :
    17 Mobile No. : 8851474964 _ 18.Email : [email protected]

    19 PAN No. : BFRPD7633H _

    * Relationship with Head of family (HOF) : Wife/Son/Daughter/Father/Mother/Brother/Sister/etc.


    **Occupation : Farmer/Labour/State Govt. emp/Central or PSU emp/Private Industry/Housewife/
    Student/Infant/Business/Construction worker/Unorganised Labour/Unemployed etc (Head of family relationship will be SELF)
    *** Marital Status : Married/Unmarried/Widow/Divorced
    Municipal Corporation, Gurugram Website: NIC
    http://meraparivar.haryana.gov.in Haryana
    Member-2 Details Page-2
    1.Aadhaar No. 397497253955 (12 digit)

    2. Name (as in aadhaar) BISWAKALYANA DAS (Capital letters)


    3*.Relation with HOF: SON 4. Sex: Male/Female/Other 5. Date of Birth : 27-10-2004

    6. Father Name: _ SANTOSH KUMAR DAS

    7. Mother Name: ANJALI DAS

    8***. Marital Status :_ NA 9. Spouse Name: NA

    10.Divyang : Yes/No 11.Govt. Employee : Yes/No

    12.Birth Place: Haryana /Outside Haryana (if Haryana then give below details)
    if HYR Distt. _ Block/MC :_ Village/Ward :_ _
    13.Residing in HRY Since : _ 2003 14.Qualification: 10 TH _
    15**.Occupation : 16.Annual Income :

    17 Mobile No. : 18.Email :

    19 PAN No. :
    Member-3 Details
    1.Aadhaar No.714233444961 12 digit)

    2. Name (as in aadhaar) ANKITA DAS (Capital letters)


    3*.Relation with HOF: DAUGHTER 4. Sex: Male/Female/Other 5. Date of Birth : 30-11-2012
    6. Father Name: _ SANTOSH KUMAR DAS

    7. Mother Name: ANJALI DAS

    8***. Marital Status :_NA 9. Spouse Name: NA

    10.Divyang : Yes/No 11.Govt. Employee : Yes/No

    12.Birth Place: Haryana /Outside Haryana (if Haryana then give below details)
    if HYR Distt. _ Block/MC :_ Village/Ward :_ _
    13.Residing in HRY Since : _ 14.Qualification: _
    15**.Occupation : 16.Annual Income :

    17 Mobile No. : 18.Email :

    19 PAN No. :

    (Use additional sheet if more members are in family, npame spellings should be same as in aadhaar card, attach photocopy if possible)

    * Relationship with Head of family (HOF) : Wife/Son/Daughter/Father/Mother/Brother/Sister/etc.


    **Occupation : Farmer/Labour/State Govt. emp/Central or PSU emp/Private Industry/Housewife/
    Student/Infant/Business/Construction worker/Unorganised Labour/Unemployed etc (Head of family relationship will be SELF)
    *** Marital Status : Married/Unmarried/Widow/Divorced
    Municipal Corporation, Gurugram Website: NIC
    http://meraparivar.haryana.gov.in Haryana

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