AP Meeseva NSAP Claiming Family Benefit Scheme Form PDF

‘AP Meeseva NSAP Claiming Family Benefit Scheme Form’ PDF Quick download link is given at the bottom of this article. You can see the PDF demo, size of the PDF, page numbers, and direct download Free PDF of ‘AP Meeseva NSAP Claiming Family Benefit Scheme Form’ using the download button.

AP Meeseva NSAP Claiming Family Benefit Scheme Form PDF Free Download

AP Meeseva NSAP Claiming Family Benefit Scheme Form

  1. Name of the applicant Sri/Smt.:
  2. Full address:
  3. Name of the deceased primary breadwinner:
  4. Relationship of the deceased with the applicant:
  5. Date of death of primary breadwinner:
  6. I solemnly affirm that:
    (a) I do not have any family income of Rs.5,000/- per month or more.
    (b) I am the surviving head of the family of the deceased primary breadwinner.
    (c) The Primary breadwinner died at the age of __ (Proof-like Death Certificate to be attached)
    (d) The deceased was a resident of the District Where he had been residing for the last 3 years immediately preceding The death.
    (e) I declare that the information furnished in the application is true and correct to the best of my knowledge and
Language English
No. of Pages2
PDF Size0.07 MB
CategoryGovernment
Source/Credits

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AP Meeseva NSAP Claiming Family Benefit Scheme Form PDF Free Download

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