Service Description
Application Form
Apply For Service
Ladli Social Security Allowance
Help Document for Submit Application
Application Data Entry - Ladli Social Security Allowance
Enter CIDR Id or Saral Id of CIDR
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Name of Applicant
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Aadhaar Number
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If you already have CIDR Id or Saral Id of CIDR then you can search from 'Search Citizen Registration (CIDR)' Service.
If you don't have CIDR Id or Saral Id of CIDR then register CIDR from 'Citizen Registration' Service.
Personal Detail [Note: In case Mother is not alive then Father/Guardian Detail to be filled here]
NOTE:Applicant's Name, Mother's Name and Father's/Husband's Name is same as printed on Bank Pass Book.
नोट: आवेदक का नाम , मां का नाम और पिता/पति का नाम बैंक पास बुक से मिलना चाहिये |
No of Sons
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No of Daughters
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CIDR Id
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Applicant Name
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आवेदक का नाम
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Father/Husband Name
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पिता/पति का नाम
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Mother Name
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माता का नाम
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Gender
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Please Select
Male
Female
Transgender
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Date of Birth
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Permanent Address
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स्थाई पता
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Correspondence Address
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पत्राचार का पता
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Mobile Number
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E-Mail
User Photo (Image must be between 20 KB to 50 KB and resolution less than 500 * 300 px)
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If you want to change the above information. Click here
Identify Your Location
District(जिला)
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Please Select
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Tehsil(तहसील)
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Area(क्षेत्र)
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Rural
Urban
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City/Village(शहर / गांव)
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Ward No
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Applicant's Details
Caste Category
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General
Scheduled Caste
Backward Class
Other Backward Class
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Block/MC
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Is Applicant Resident of Haryana or Employed with Government of Haryana
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Yes
No
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Family Annual Income (Includes Income from Salary, Pension, Family pension and Interest on Provident Fund)
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Child1
Name (Child1)
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Date of Birth (Child1)
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Gender (Child1)
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Male
Female
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Child2
Name (Child2)
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Date of Birth (Child2)
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Gender (Child2)
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Male
Female
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Applicant's Bank Details
IFSC Code
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Branch
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Name of Bank
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Account No
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Pre-Verification
Pre-Verified By
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Ward Member (MC)
Sarpanch
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Pre-Verifier Name
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Declaration
Declaration: I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
घोषणा : मैं एतद्द्वारा घोषणा करता / करती हूं कि उपर्युक्त विवरण मेरे ज्ञान और विश्वास के आधार पर सही हैं और मैं आपको इसके बारे में किसी भी परिवर्तन की सूचना तुरंत दूंगा / दूँगी । यदि उपरोक्त किसी भी जानकारी को गलत या गलत तरीके से प्रस्तुत करना पाया जाता है, तो मुझे पता है कि इसके लिए मैं उत्तरदायी हूं।
I hereby provide my Aadhaar number & bank details to avail benefits under social security pension schemes and credit of pension into my bank account to Department of Social Justice & Empowerment, Government of Haryana.
I Agree
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