Meeseva Application for Apathbandhu District Admin

Meeseva Application for Apathbandhu District Admin 

Download Meeseva Application for Apathbandhu District Admin 

APPLICATION FOR EX-APATHBANDHU SCHEME
TO
The Collector,
Hyderabad District.

1. Name of the Applicant _________________________________
(In Block Letters)
With residential address
2. Name of the Deceased (in block ____________
_____________________Letters)
Name of the Father/ Husband
_________________________________
(a) Residential Address
_____________
(b)Age
_________________________________

(c)Occupation
_________________________________

(d)Annual Income ___
______________________________
3. Relationship with deceased _____________________
____________
4. Date of Accident _______________________________
__
5. Date of Death _________________________________
6. Place of death (with details)
_________________________________
i) H.No _________________________________
ii) Locality (Police Station) _____________________
____________
iii) Mandal _________________________________
iv) District _________________________________
7. Cause of Death _____
____________________________
8. Name of family members/legal heirs particulars
Sl.No. Relationship with deceased Age Occupation In
come
Documents to be enclosed:-.
(a)Death Certificate
(b) FIR
(c)Report of post Mortem/Panchanama