Meeseva Application for Apathbandhu District Admin

Meeseva Application for Apathbandhu District Admin 

Download Here  Meeseva Application for Apathbandhu District Admin. 
The Apathbandhu District Admin Application Form will be like below download the form and fill all the details and attach required documents:
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 Income
Documents to be enclosed:-.
(a)Death Certificate
(b) FIR
(c)Report of post Mortem/Panchanama
The particulars furnished above by me are true and correct to the best of my knowledge.
APPLICATION FOR EX- GRATIA UNDER
APATHBANDHU SCHEME
1. Name of the Applicant _________________________________
Deceased (in block _________________________________
Name of the Father/ Husband _________________________________
(a) Residential Address _________________________________
(b)Age _________________________________
(c)Occupation _________________________________
______________________________
3. Relationship with deceased _________________________________
4. Date of Accident _________________________________
5. Date of Death _________________________________
_________________________________
i) H.No _________________________________

ii) Locality (Police Station) _________________________________
iii) Mandal _________________________________
iv) District _________________________________
____________________________
8. Name of family members/legal heirs particulars
Sl.No. Relationship with deceased Age Occupation Income
(c)Report of post Mortem/Panchanama
ove by me are true and correct to the best of my knowledge.
1. Name of the Applicant _________________________________
Deceased (in block _________________________________
Name of the Father/ Husband _________________________________
____________________
(b)Age _________________________________
(c)Occupation _________________________________
ove by me are true and correct to the best of my knowledge.
The particulars furnished by me, if found false, I will be responsible for legal action.
Place:
Date:
The particulars furnished by me, if found false, I will be responsible for legal action.

 Signature of the Applicant