‘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
- Name of the applicant Sri/Smt.:
- Full address:
- Name of the deceased primary breadwinner:
- Relationship of the deceased with the applicant:
- Date of death of primary breadwinner:
- 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 Pages | 2 |
PDF Size | 0.07 MB |
Category | Government |
Source/Credits | – |
Related PDFs
AP Meeseva Amaravati Landless Poor Pension Form PDF
AP Meeseva Factories Annual Fees Payment Form PDF
AP Meeseva Money Lending License Form PDF
AP Meeseva Voter/EPIC Card Application Form PDF
AP Meeseva EPDCL -LT New Connection Application Form PDF
AP Meeseva NSAP Claiming Family Benefit Scheme Form PDF Free Download