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  • YSR Kalyanamasthu - Field - Verification - Form

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    Ramesh karubhukta
    3K views2 pages
    This document is a verification form for the YSR Kalyanamasthu / YSR Shaadi Tohfa 2022-23 scheme in Andhra Pradesh. It contains fields to capture details of the applicant bride and groom, including name, Aadhaar number, date of birth, caste, and eligibility details. Sections verify information from the application system and from field verification. Neighbor verification and signatures of the field verifier and applicant are also captured.

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    Original Title

    YSR Kalyanamasthu_Field_Verification_Form (1)

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    This document is a verification form for the YSR Kalyanamasthu / YSR Shaadi Tohfa 2022-23 scheme in Andhra Pradesh. It contains fields to capture details of the applicant bride and groom, including name, Aadhaar number, date of birth, caste, and eligibility details. Sections verify information from the application system and from field verification. Neighbor verification and signatures of the field verifier and applicant are also captured.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    3K views2 pages

    YSR Kalyanamasthu - Field - Verification - Form

    Uploaded by

    Ramesh karubhukta
    This document is a verification form for the YSR Kalyanamasthu / YSR Shaadi Tohfa 2022-23 scheme in Andhra Pradesh. It contains fields to capture details of the applicant bride and groom, including name, Aadhaar number, date of birth, caste, and eligibility details. Sections verify information from the application system and from field verification. Neighbor verification and signatures of the field verifier and applicant are also captured.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    గ్ర

    ా మ - వార్డ
    ు సచివాలయము
    ఆంధ్ర ప్రదేశ్ ప్రభుత్వ ం
    YSR Kalyanamasthu /YSR Shaadi Tohfa 2022-23 WEA/WWDS Field Verification Form

    Secretariat Details
    Secretariat Name Volunteer Name
    Secretariat Code Cluster ID
    Application Details
    Application ID Marriage Category

    Marriage Marriage
    Certificate ID Type
    Basic Details
    Bride Details Bridegroom Details
    Name Name
    Aadhaar No. Aadhaar No.
    Date of Birth Date of Birth
    Father’s Name Father’s Name
    Caste Caste
    Sub Caste Sub Caste
    Gender Gender
    General Eligibility Verification
    Bride Details Bridegroom Details
    Criterion
    As per System As per Field As per System As per Field
    Monthly Family
    Income
    Dry land holding of
    family
    Wet Land holding of
    Family
    Any person in the
    Family working in
    Central/State
    Govt/PSU/Private etc.
    with income more
    than 12000/-
    Electricity
    consumption
    Four-Wheeler
    Urban property
    Income tax payees Yes No Yes No
    Scheme Specific Verifications
    Bride Details Bridegroom Details
    Category
    As per System As per Field As per System As per Field
    10th Class
    Differently Abled
    BOCWWB member in
    Not Applicable
    Family
    Bride’s 1st Marriage
    Bride is Widow Not Applicable
    Proof Document (If Bride
    Not Applicable
    is Widow)
    Marriage Details Verification
    As per System As per Field As per System As per Field
    Marriage
    Venue
    Marriage Date
    Place of
    Marriage
    I have personally verified the Marriage Photo Yes No
    I have personally verified the Wedding Card Yes No
    Neighbour Verification Details
    Has a neighbour confirmed the applicants’ marriage details Yes No
    Neighbour Name Neighbour Aadhaar
    Neighbour Remarks

    Neighbour Signature
    Field Verifier Details
    WEA/WWDS Employee ID
    Name
    Time and Date Recommendation

    Remarks

    I solemnly swear that the above-mentioned particulars are true to the best of my knowledge and
    belief, and it conceals nothing and that no part of it is false. In case if found in future that the
    declaration given above is false, I am liable for prosecution.

    Signature of the Applicant Signature of the WEA/WWDS

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