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Application FinalPrint

The document is an application form for an Old Age Pension Scheme administered by the Social Welfare Department. It contains information about the applicant such as name, father's name, address, date of birth, income details, bank account information, and the application approval process which involves submission to the BDO or SDM, approval by the BDO/SDM, forwarding to the DWO, and final approval and account verification by the DWO.

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Munavvar Ali
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
23 views

Application FinalPrint

The document is an application form for an Old Age Pension Scheme administered by the Social Welfare Department. It contains information about the applicant such as name, father's name, address, date of birth, income details, bank account information, and the application approval process which involves submission to the BDO or SDM, approval by the BDO/SDM, forwarding to the DWO, and final approval and account verification by the DWO.

Uploaded by

Munavvar Ali
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Application form filled by the applicant for Old Age Pension Scheme

administered by Social Welfare Department

Level-1 Level-2
Level-3
Applicant to BDO or SDM BDO or SDM (Rural/Urban) to
DWO Forwarded
(Rural/Urban) DWO

Application forward to Application Approved By BDO/SDM Approval process completed and finally frozen by DWO and
BDO/SDM and forwarded to DWO also account is re-verified by DWO

On 03/04/2022 On 02/05/2022 On 27/10/2022

The date shown in the * column is the date of final submission of the application by the
applicant

PFMS Account Validation Status

Account Validation Status is Accepted From PFMS

8C8E6C92D54387B7DB0483834D3BFACC

Personal statement

Registration Number /
Application Number: 314812122911 District: BARABANKI

Resident: Rural Tehsil: Haidergarh

MOHAMMAD
Block: HAIDAGARH Gram Panchayat:
PUR

Village: MOHAMMAD PUR

Name of
Applicant Gender As
As Aadhaar FATIMA Aadhaar Female
Seeded on Seeded:
Aadhaar Card:
Name of
Gender as
Applicant as FATIMA FEMALE
Form Filled:
Form Filled:
VILLAGE MOHAMMADPUR POST
Father/Husband LATE SHAFI Complete
RUKUNNUDDINPUR TEHSIL
Name : MOHAMMAD Address:
HAIDERGARH DISTRICT BARABANKI
Date of
Category: MINORITY 01 Jan 1957
Birth:

View the Contact


Date of Birth/Age Number
uploaded XXX XXX 1484
Certificate: (Mobile
cer tificate No.):
Aadhaar Card / Aadhaar Authentication Successful, Based on Name & Gender
Aadhaar Card :
Aadhaar Demo
Authentication 03/04/2022
Date:
8C8E6C92D54387B7DB0483834D3BFACC

Bank statement

ARYAVART
Name of Bank: Name of Bank Branch: KAMELA
BANK

IFSC Code / IFSC ** If the displayed IFSC code is different from your IFSC code, please contact your
BKID0ARYAGB
Code : concerned District Social Welfare Officer.

Account No.: XXX XXX 4282

Statement of Income

Annual Income (From E-District) / Annual Income (From E-District): 42000

Income Application No. issued by the Tehsildar. : XXX XXXX XXX 24464

Income Certificate No. issued by Tehsildar: XXXX XXXX 5018

Date Of Issue: 02/03/2022

Address.: Barabanki Hyderabad

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