Information Of Beneficiary Being Covered Under Slum Rehabilitation Page 3

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FORMAT B - REQUIRED INFORMATION OF BENEFICIARY*
1. Name of head of the family
2. Sex [Male: 01, Female: 02
]
, Transgender:03
3. Father’s name
4.
Age of head of the family
5. Present Address
i. House/Flat/Door No.
ii. Name of the Street
iii. City
iv. Mobile No.
6. Permanent Address
i. House/Flat/Door No.
ii. Name of the Street
iii.City/ Village
iv.District, State
7. Ownership details of existing house
[Own – 01, Rent – 02, Otherwise – 03]
8. Type of the house based on roof type
[Pucca (CC & Stone Slab)-01, Semi-Pucca
(Asbestos/ Steel Sheet, Tiled)-02,
Katcha (Grass/thatched, Tarpaulin, Wooden)-03]
9. Number of rooms in the dwelling unit excluding
kitchen
10. Aadhaar Card Number, if not available
Voter ID Card/Any other unique identification number
or a certificate of house ownership from Revenue Authority of beneficiary’s native district
11. Number & age of family members
Relationship to
Gender
Age
Aadhaar card /Voter ID Card/Any other unique
Head of the Family
identification number or a certificate of house
ownership from Revenue Authority of beneficiary’s
native district
12. Religion
[Hindu-01, Muslim-02, Christian-03, Sikh-04, Jainism-05,
Buddhism- 06, Zoroastrianism-07, others (specify)-08]
13. Caste
[General-01, SC-02, ST-03, OBC-04]
14. Bank Details
a. Bank account number
b. Name of the Bank & Branch
c. IFSC Code of Bank
Page | 3

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