Application For BBSYDP
Application For BBSYDP
APPLICANT’S DETAILS
Name of Applicant:
(if list elongates, please attach a separate list and mention as Annexure-I)
No of family members living jointly:__5_______
Applicant’s Residential Address
Rented Owned
Permanent Address
6 months’ Average Electricity Bill:Rs. Total monthly income of house hold: Rs.
Property / Agricultural Land owned by Father / Brothers / Husband/self:
S.No Name of relative Details of Property
(if list elongates, please attach a separate list and mention as Annexure II)
UNDERTAKING
I solemnly state that the information given on the form is true &correct. And that currently I am not employed anywhere.
Further, I understand and accept that any information with held or incorrectly given will disqualify me from the program and its benefits
Date:
Applicant’s Signature: ____________________________