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Swargadwar Seva Samiti, Puri
Help For Harischandra Yojana, Application Submit in Puri Swargadwar
(Chief Minister Relief Fund ANNEXURE-A ACCORDING)
ANNEXURE-A
Death Person Details
Male
Female
Choose a District:
Puri
Angul
Baudh
Balangir
Bargarh
Balesore
Bhadrak
Cuttack
Deogarh
Dhenkanal
Ganjam
Gajapati
Jharsuguda
Jajpur
Jagatsinghapur
Khordha
Keonjhar
Kalahandi
Kandhamal
Koraput
Kendrapara
Malkangiri
Mayurbhanj
Nabarangpur
Nuapada
Nayagarh
Rayagada
Sambalpur
Subarnapur
Sundargarh
Choose a State:
Odisha
Choose a ID Proof:
Ahar Card
Voter ID Card
PAN Card
Driving Licenses
Passport
Attach ID proof of Decresed Person :
Choose any death declaration:
Hospital Death Declaration
Corporator Declaration
Sarapancha Declaration
Asha Didi Declaration
Attach Death Declaration :
Township
Village Area
Applicant Details
Choose a District:
Puri
Angul
Baudh
Balangir
Bargarh
Balesore
Bhadrak
Cuttack
Deogarh
Dhenkanal
Ganjam
Gajapati
Jharsuguda
Jajpur
Jagatsinghapur
Khordha
Keonjhar
Kalahandi
Kandhamal
Koraput
Kendrapara
Malkangiri
Mayurbhanj
Nabarangpur
Nuapada
Nayagarh
Rayagada
Sambalpur
Subarnapur
Sundargarh
Choose a State:
Odisha
Choose a ID Proof:
Ahar Card
Voter ID Card
PAN Card
Driving Licenses
Passport
Attach ID proof of Applicant :
Declaration:
We have no Four Wheeler in our Family.
In our Family No one Govt. Service Holder.
In our Family No one Govt. Pension Holder.
In our Family Total Land Not More than 5 Acers.
In our Family No one Income Tax Payer
I Read all Above Declaration.All Decaration are truth For my Family.
All Declaration Are true