Meeseva FORM OF APPLICATION CLAIMING FAMILY BENEFIT-NFBS District Admin

Meeseva FORM OF APPLICATION CLAIMING FAMILY BENEFIT-NFBS District Admin 

Download Meeseva FORM OF APPLICATION CLAIMING FAMILY BENEFIT-NFBS 

(To be filled by the Local Enquiry Team)
We certify after due enquiry as follows that:
1. The deceased was the Primary bread winner of the house hold
2. The deceased had been residing in the district for three years before death.
3. The applicant is the surviving head of the family
4. The age of the primary bread winner at the time
of death is ____________years.
5. We recommend/do not recommend for sanction of family benefit.
6. This claim is received on_______________ and is
being forwarded to Medical Officer/P.O. ICDs