{"id":3564,"date":"2022-10-13T08:42:06","date_gmt":"2022-10-13T08:42:06","guid":{"rendered":"https:\/\/swargadwar.com\/?page_id=3564"},"modified":"2024-02-10T13:12:00","modified_gmt":"2024-02-10T13:12:00","slug":"general-2","status":"publish","type":"page","link":"https:\/\/swargadwar.com\/ory\/general-2\/","title":{"rendered":"General"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"3564\" class=\"elementor elementor-3564\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5c74861 elementor-section-stretched elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"5c74861\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-78dbe60\" data-id=\"78dbe60\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ff67223 elementor-widget elementor-widget-html\" data-id=\"ff67223\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<html>\r\n<script src=\"https:\/\/www.google.com\/recaptcha\/api.js\"><\/script>\r\n<script src=\"http:\/\/ajax.googleapis.com\/ajax\/libs\/jquery\/2.1.0\/jquery.min.js\"><\/script>\r\n<div id=\"main-content\" class=\"main-content\" style=\"margin-left:px;margin-right:0px;\" >\r\n<script type=\"text\/javascript\">\r\n$(document).ready(function () {\r\n    $('#submit').click(function() {\r\n      checked = $(\"input[type=checkbox]:checked\").length;\r\n\r\n      if(!checked) {\r\n        alert(\"You must check at least one checkbox.\");\r\n        return false;\r\n      }\r\n\r\n    });\r\n});\r\n<\/script>\r\n<div class=\"main-content-inner\">\r\n<form  action=\"https:\/\/swargadwar.com\/fpdf\/generalPDF.php\" method=\"post\" style=\"background-color:#DDC5A1;\"  enctype=\"multipart\/form-data\" data-trp-original-action=\"https:\/\/swargadwar.com\/fpdf\/generalPDF.php\"   >\r\n<table style=\"width:100%\">\r\n    <tr>\r\n    <td style=\"width:20%\">\r\n        <center><img loading=\"lazy\" alt=\"Qries\" src=\"https:\/\/swargadwar.com\/wp-content\/uploads\/2022\/10\/Final-logo-png-3-e1665717727172.png\" width=\"100\" height=\"80\"><\/center>\r\n    <\/td>\r\n    <td style=\"width:50%\">\r\n         <center><b><h1>\u0b38\u0b4d\u0b71\u0b30\u0b4d\u0b17\u0b26\u0b4d\u0b71\u0b3e\u0b30 \u0b38\u0b47\u0b2c\u0b3e \u0b38\u0b2e\u0b3f\u0b24\u0b3f, \u0b2a\u0b41\u0b30\u0b40 |<\/h1><\/b><\/center>\r\n        <center><font size=\"5\" font-family:verdana;><b><u>Apply For General Yojana<\/u><\/b><\/font><\/center>\r\n        \r\n    <\/td>\r\n    <td  style=\"width:25%\">\r\n    <center><img loading=\"lazy\" alt=\"Qries\" src=\"https:\/\/swargadwar.com\/wp-content\/uploads\/2022\/10\/odishsarkarlogo-removebg-preview.png\" width=\"150\" height=\"400\"><\/center>\r\n    <\/td>\r\n    <\/tr>\r\n    <tr>\u0b38\u0b02\u0b32\u0b17\u0b4d\u0b28- A<\/tr>\r\n<\/table>\r\n<center><label><b><h2><u>\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2c\u0b3f\u0b2c\u0b30\u0b23\u0b40<\/u><\/h2><\/b><\/label><\/center>\r\n<label><b><h2>\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b28\u0b3e\u0b2e \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41 |\r\n<input maxlength=\"100\" name=\"yourname\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b28\u0b3e\u0b2e \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41 |\" required=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\"\/><\/h2><\/b><\/label>\r\n<label><b><h2>Deceased Age:\r\n<input maxlength=\"100\" name=\"yourage\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2c\u0b5f\u0b38 \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" type=\"text\"  style=\"background-color:#ffffff\" \/><\/h2><\/b><\/label>\r\n<font size=\"4\">\u0b2a\u0b41\u0b30\u0b41\u0b37<\/font> <input name=\"gender\" type=\"radio\" value=\"Male\" checked \/>        <font size=\"4\">\u0b2e\u0b39\u0b3f\u0b33\u0b3e<\/font> <input name=\"gender\" type=\"radio\" value=\"Female\" \/><br>\r\n<label><b><h2>Deceased Father\/Husband Name:\r\n<input maxlength=\"100\" name=\"husband\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2a\u0b3f\u0b24\u0b3e\/\u0b38\u0b4d\u0b71\u0b3e\u0b2e\u0b40 \u0b19\u0b4d\u0b15 \u0b28\u0b3e\u0b2e \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" type=\"text\"  style=\"background-color:#ffffff\" \/><\/h2><\/b><\/label>\r\n<label><b><h2>\u0b24\u0b3e\u0b30\u0b3f\u0b16\r\n<input type=\"datetime-local\" name=\"date\" id=\"Test_DatetimeLocal\"  style=\"background-color:#ffffff\" required=\"\"><\/h2><\/b><\/label>\r\n<label><b><h2>\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2e\u0b43\u0b24\u0b4d\u0b5f\u0b41 \u0b38\u0b4d\u0b25\u0b3e\u0b28 \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\r\n<input maxlength=\"100\" name=\"yourdeathplace\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2e\u0b43\u0b24\u0b4d\u0b5f\u0b41 \u0b38\u0b4d\u0b25\u0b3e\u0b28 \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" type=\"text\"  style=\"background-color:#ffffff\" \/><\/h2><\/b><\/label>\r\n<label><b><h2>\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b1c\u0b3f\u0b32\u0b4d\u0b32\u0b3e \u0b1a\u0b5f\u0b28 \u0b15\u0b30\u0b28\u0b4d\u0b24\u0b41:<\/h2><\/b><\/label>\r\n  <select name=\"district\" id=\"district\" size=\"20\" style=\"background-color:#ffffff\" required=\"\">\r\n    <option value=\"Puri\">Puri<\/option>\r\n    <option value=\"Angul\">Angul<\/option>\r\n    <option value=\"Baudh\">Baudh<\/option>\r\n    <option value=\"Balangir\">Balangir<\/option>\r\n\t<option value=\"Bargarh\">Bargarh<\/option>\r\n\t<option value=\"Baudh\">Balesore<\/option>\r\n    <option value=\"Balangir\">Bhadrak<\/option>\r\n\t<option value=\"Bargarh\">Cuttack<\/option>\r\n\t<option value=\"Puri\">Deogarh<\/option>\r\n    <option value=\"Angul\">Dhenkanal<\/option>\r\n    <option value=\"Baudh\">Ganjam<\/option>\r\n    <option value=\"Balangir\">Gajapati<\/option>\r\n\t<option value=\"Bargarh\">Jharsuguda<\/option>\r\n\t<option value=\"Baudh\">Jajpur<\/option>\r\n    <option value=\"Balangir\">Jagatsinghapur<\/option>\r\n\t<option value=\"Bargarh\">Khordha<\/option>\r\n\t<option value=\"Puri\">Keonjhar<\/option>\r\n    <option value=\"Angul\">Kalahandi<\/option>\r\n    <option value=\"Baudh\">Kandhamal<\/option>\r\n    <option value=\"Balangir\">Koraput<\/option>\r\n\t<option value=\"Bargarh\">Kendrapara<\/option>\r\n\t<option value=\"Baudh\">Malkangiri<\/option>\r\n    <option value=\"Balangir\">Mayurbhanj<\/option>\r\n\t<option value=\"Bargarh\">Nabarangpur<\/option>\r\n\t<option value=\"Puri\">Nuapada<\/option>\r\n    <option value=\"Angul\">Nayagarh<\/option>\r\n    <option value=\"Baudh\">Rayagada<\/option>\r\n    <option value=\"Balangir\">Sambalpur<\/option>\r\n\t<option value=\"Bargarh\">Subarnapur<\/option>\r\n\t<option value=\"Baudh\">Sundargarh<\/option>\r\n  <\/select>\r\n  <label><b><h2>\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b30\u0b3e\u0b1c\u0b4d\u0b5f \u0b1a\u0b5f\u0b28 \u0b15\u0b30\u0b28\u0b4d\u0b24\u0b41:\r\n  <select name=\"state\" id=\"state\" size=\"20\" style=\"background-color:#ffffff\">\r\n    <option value=\"Odisha\">Odisha<\/option>\r\n    <option value=\"Andhra Pradesh\">Andhra Pradesh<\/option>\r\n    <option value=\"Arunachal Pradesh\">Arunachal Pradesh<\/option>\r\n    <option value=\"Assam\">Assam<\/option>\r\n    <option value=\"Bihar\">Bihar<\/option>\r\n    <option value=\"Chhattisgarh\">Chhattisgarh<\/option>\r\n    <option value=\"Goa\">Goa<\/option>\r\n    <option value=\"Gujarat\">Gujarat<\/option>\r\n    <option value=\"Haryana\">Haryana<\/option>\r\n    <option value=\"Himachal Pradesh\">Himachal Pradesh<\/option>\r\n    <option value=\"Jharkhand\">Jharkhand<\/option>\r\n    <option value=\"Karnataka\">Karnataka<\/option>\r\n    <option value=\"Kerala\">Kerala<\/option>\r\n    <option value=\"Madhya Pradesh\">Madhya Pradesh<\/option>\r\n    <option value=\"Maharashtra\">Maharashtra<\/option>\r\n    <option value=\"Manipur\">Manipur<\/option>\r\n    <option value=\"Meghalaya\">Meghalaya<\/option>\r\n    <option value=\"Mizoram\">Mizoram<\/option>\r\n    <option value=\"Nagaland\">Nagaland<\/option>\r\n    <option value=\"Punjab\">Punjab<\/option>\r\n    <option value=\"Rajasthan\">Rajasthan<\/option>\r\n    <option value=\"Sikkim\">Sikkim<\/option>\r\n    <option value=\"Tamil Nadu\">Tamil Nadu<\/option>\r\n    <option value=\"Telangana\">Telangana<\/option>\r\n    <option value=\"Tripura\">Tripura<\/option>\r\n    <option value=\"Uttarakhand\">Uttarakhand<\/option>\r\n    <option value=\"Uttar Pradesh\">Uttar Pradesh<\/option>\r\n    <option value=\"West Bengal\">West Bengal<\/option>\r\n    <option value=\"Andaman and Nicobar Islands\">Andaman and Nicobar Islands<\/option>\r\n    <option value=\"Chandigarh\">Chandigarh<\/option>\r\n    <option value=\"Dadra and Nagar Haveli andDaman & Diu\">Dadra and Nagar Haveli and\r\nDaman & Diu<\/option>\r\n    <option value=\"The Government of NCT of Delhi\">The Government of NCT of Delhi<\/option>\r\n    <option value=\"Jammu & Kashmir\">Jammu & Kashmir<\/option>\r\n    <option value=\"Ladakh\">Ladakh<\/option>\r\n    <option value=\"Lakshadweep\">Lakshadweep<\/option>\r\n    <option value=\"Puducherry\">Puducherry<\/option>\r\n  <\/select><\/h2><\/b><\/label>\r\n  <label><b><h2>\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2e\u0b43\u0b24\u0b4d\u0b5f\u0b41\u0b30 \u0b15\u0b3e\u0b30\u0b23 \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\r\n<input maxlength=\"80\" name=\"yourdeathcause\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2e\u0b43\u0b24\u0b4d\u0b5f\u0b41\u0b30 \u0b15\u0b3e\u0b30\u0b23 \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" type=\"text\"  style=\"background-color:#ffffff\"\/><\/h2><\/b><\/label>\r\n<label><b><h2>\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b1a\u0b3e\u0b15\u0b3f\u0b30\u0b3f \u0b2a\u0b4d\u0b30\u0b2c\u0b47\u0b36 \u0b15\u0b30 |\r\n<input maxlength=\"80\" name=\"yourjob\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b1a\u0b3e\u0b15\u0b3f\u0b30\u0b3f \u0b2a\u0b4d\u0b30\u0b2c\u0b47\u0b36 \u0b15\u0b30 |\" required=\"\" size=\"14\" type=\"text\"  style=\"background-color:#ffffff\"\/><\/h2><\/b><\/label>\r\n<label><b><h2>\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2a\u0b30\u0b3f\u0b1a\u0b5f \u0b2a\u0b24\u0b4d\u0b30 \u0b1a\u0b5f\u0b28 \u0b15\u0b30\u0b28\u0b4d\u0b24\u0b41:\r\n  <select name=\"decreasedidproof\" id=\"identity\" size=\"20\" style=\"background-color:#ffffff\" required=\"\">\r\n    <option value=\"AdharCard\">AdharCard<\/option>\r\n    <option value=\"VoterID Card\">VoterIDCard<\/option>\r\n    <option value=\"PANCard\">PANCard<\/option>\r\n    <option value=\"DrivingLicenses\">DrivingLicenses<\/option>\r\n\t<option value=\"Passport\">Passport<\/option>\r\n  <\/select><\/h2><\/b><\/label>\r\n<label><b><h2>\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2a\u0b30\u0b3f\u0b1a\u0b5f \u0b2a\u0b24\u0b4d\u0b30 \u0b2a\u0b4d\u0b30\u0b2e\u0b3e\u0b23 \u0b38\u0b02\u0b32\u0b17\u0b4d\u0b28 \u0b15\u0b30\u0b28\u0b4d\u0b24\u0b41:\r\n<input maxlength=\"40\" type=\"file\"\r\n       id=\"avatar\" name=\"decreasedattachproof\" \r\n       accept=\"image\/*,.pdf,.doc,.docx,.xml,application\/msword\" required=\"\"><\/h2><\/b><\/label>\r\n<label><b><h2>\u0b2e\u0b43\u0b24\u0b4d\u0b5f\u0b41 \u0b18\u0b4b\u0b37\u0b23\u0b3e \u0b2c\u0b3e\u0b1b\u0b28\u0b4d\u0b24\u0b41:\r\n  <select name=\"deathdeclaration\" id=\"identity\" required=\"\">\r\n    <option value=\"HospitalDeathDeclaration\">Hospital\/DoctorDeathDeclaration<\/option>\r\n    <option value=\"CorporatorDeclaration\">Corporator\/Sarpanch\/WardmemberDeclaration<\/option>\r\n    <option value=\"SarapanchaDeathDeclaration\">MP\/MLA\/Govt.OfficialDeathDeclaration<\/option>\r\n    <option value=\"AshaDidiDeathDeclaration\">Asha\/AnganwadiWorkerDeathDeclaration<\/option>\r\n  <\/select><\/h2><\/b><\/label>\r\n<label><b><h2>Attach Death Declaration:<br>\r\n<input type=\"file\"\r\n    id=\"attachdeathdeclaration\" name=\"attachdeathdeclaration\"\r\n       accept=\"image\/*,.pdf,.doc,.docx,.xml,application\/msword,\" required=\"\"><\/h2><\/b><\/label>\r\n<font size=\"4\">\u0b38\u0b39\u0b30\u0b3e\u0b1e\u0b4d\u0b1a\u0b33<\/font> <input name=\"townshipvillage\" type=\"radio\" value=\"Township\" size=\"15\" checked>        <font size=\"4\">\u0b17\u0b3e\u0b01 \u0b05\u0b1e\u0b4d\u0b1a\u0b33<\/font> <input name=\"townshipvillage\" type=\"radio\" value=\"Village Area\" \/><br >\r\n<label><b><h2>Deceased Village\/Street:\r\n<input maxlength=\"100\" name=\"villagestreet\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b38\u0b39\u0b30\/\u0b17\u0b4d\u0b30\u0b3e\u0b2e\u0b30 \u0b28\u0b3e\u0b2e \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\" \/><\/h2><\/b><\/label>\r\n<label><b><h2>Deceased Ward No:\r\n<input maxlength=\"100\" name=\"wardno\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f \u0b71\u0b3e\u0b30\u0b4d\u0b21 \u0b28\u0b2e\u0b4d\u0b2c\u0b30 \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\"\/><\/h2><\/b><\/label>\r\n<label><b><h2>Deceased Post Office:\r\n<input maxlength=\"100\" name=\"postoffice\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2a\u0b4b\u0b37\u0b4d\u0b1f \u0b05\u0b2b\u0b3f\u0b38 \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\"\/><\/h2><\/b><\/label>\r\n<label><b><h2>Deceased Police Station:\r\n<input maxlength=\"100\" name=\"policestation\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b25\u0b3e\u0b28\u0b3e \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\" \/><\/h2><\/b><\/label>\r\n<label><b><h2>Deceased Panchayat:\r\n<input maxlength=\"100\" name=\"panchayat\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2a\u0b1e\u0b4d\u0b1a\u0b3e\u0b5f\u0b24 \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\"\/><\/h2><\/b><\/label>\t   \t\r\n<label><b><h2>Deceased Block\/Municipality\/Nac: \t   \r\n<input maxlength=\"100\" name=\"block\" placeholder=\"\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b2c\u0b4d\u0b32\u0b15 \/ \u0b2e\u0b4d\u0b5f\u0b41\u0b28\u0b3f\u0b38\u0b3f\u0b2a\u0b3e\u0b32\u0b3f\u0b1f\u0b3f \/ \u0b28\u0b4b\u0b1f\u0b3f\u0b2b\u0b3f\u0b0f\u0b21\u0b3c \u0b0f\u0b30\u0b3f\u0b06 \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\"\/><\/h2><\/b><\/label>\r\n<center><label><b><h2><u>\u0b06\u0b2c\u0b47\u0b26\u0b28\u0b15\u0b3e\u0b30\u0b40 \u0b2c\u0b3f\u0b2c\u0b30\u0b23\u0b40<\/u><\/h2><\/b><\/label><\/center>\r\n<label><b><h2>\u0b06\u0b2c\u0b47\u0b26\u0b28 \u0b15\u0b3f \u0b24\u0b3f\u0b25\u0b3f\r\n       <input type=\"datetime-local\" name=\"todaydate\" id=\"todaydate\"  style=\"background-color:#ffffff\" required=\"\"><\/h2><\/b><\/label>\r\n       <label><b><h2>Applicant name:\r\n<input maxlength=\"100\" name=\"applicantname\" placeholder=\"\u0b06\u0b2c\u0b47\u0b26\u0b28\u0b15\u0b3e\u0b30\u0b40\u0b19\u0b4d\u0b15 \u0b28\u0b3e\u0b2e \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\" \/><\/h2><\/b><\/label>\r\n<label><b><h2>Applicant Relation:\r\n<input maxlength=\"100\" name=\"applicantrelation\" placeholder=\"\u0b06\u0b2c\u0b47\u0b26\u0b28\u0b15\u0b3e\u0b30\u0b40 \u0b38\u0b2e\u0b4d\u0b2a\u0b30\u0b4d\u0b15 \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\"\/><\/h2><\/b><\/label>\r\n<label><b><h2>Applicant Mobile No:\r\n<input maxlength=\"100\" name=\"applicantmobileno\" placeholder=\"\u0b06\u0b2c\u0b47\u0b26\u0b28\u0b15\u0b3e\u0b30\u0b40\u0b19\u0b4d\u0b15 \u0b2e\u0b4b\u0b2c\u0b3e\u0b07\u0b32\u0b4d \u0b28\u0b2e\u0b4d\u0b2c\u0b30\u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" \r\npattern=\"[0-9]{10}\" \r\nrequired=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\"\/><\/h2><\/b><\/label>\r\n<label><b><h2>Applicant Address:\r\n<input maxlength=\"100\" name=\"applicantaddress\" placeholder=\"\u0b06\u0b2c\u0b47\u0b26\u0b28\u0b15\u0b3e\u0b30\u0b40\u0b19\u0b4d\u0b15 \u0b20\u0b3f\u0b15\u0b23\u0b3e \u0b32\u0b47\u0b16\u0b28\u0b4d\u0b24\u0b41\" required=\"\" size=\"14\" style=\"background-color:#ffffff\" type=\"text\" \/><\/h2><\/b><\/label>\r\n<label><b><h2>\u0b06\u0b2c\u0b47\u0b26\u0b28\u0b15\u0b3e\u0b30\u0b40 \u0b1c\u0b3f\u0b32\u0b4d\u0b32\u0b3e \u0b1a\u0b5f\u0b28 \u0b15\u0b30\u0b28\u0b4d\u0b24\u0b41:\r\n  <select name=\"applicantdist\" id=\"district\" size=\"20\" style=\"background-color:#ffffff\" required=\"\">\r\n    <option value=\"Puri\">Puri<\/option>\r\n    <option value=\"Angul\">Angul<\/option>\r\n    <option value=\"Baudh\">Baudh<\/option>\r\n    <option value=\"Balangir\">Balangir<\/option>\r\n\t<option value=\"Bargarh\">Bargarh<\/option>\r\n\t<option value=\"Baudh\">Balesore<\/option>\r\n    <option value=\"Balangir\">Bhadrak<\/option>\r\n\t<option value=\"Bargarh\">Cuttack<\/option>\r\n\t<option value=\"Puri\">Deogarh<\/option>\r\n    <option value=\"Angul\">Dhenkanal<\/option>\r\n    <option value=\"Baudh\">Ganjam<\/option>\r\n    <option value=\"Balangir\">Gajapati<\/option>\r\n\t<option value=\"Bargarh\">Jharsuguda<\/option>\r\n\t<option value=\"Baudh\">Jajpur<\/option>\r\n    <option value=\"Balangir\">Jagatsinghapur<\/option>\r\n\t<option value=\"Bargarh\">Khordha<\/option>\r\n\t<option value=\"Puri\">Keonjhar<\/option>\r\n    <option value=\"Angul\">Kalahandi<\/option>\r\n    <option value=\"Baudh\">Kandhamal<\/option>\r\n    <option value=\"Balangir\">Koraput<\/option>\r\n\t<option value=\"Bargarh\">Kendrapara<\/option>\r\n\t<option value=\"Baudh\">Malkangiri<\/option>\r\n    <option value=\"Balangir\">Mayurbhanj<\/option>\r\n\t<option value=\"Bargarh\">Nabarangpur<\/option>\r\n\t<option value=\"Puri\">Nuapada<\/option>\r\n    <option value=\"Angul\">Nayagarh<\/option>\r\n    <option value=\"Baudh\">Rayagada<\/option>\r\n    <option value=\"Balangir\">Sambalpur<\/option>\r\n\t<option value=\"Bargarh\">Subarnapur<\/option>\r\n\t<option value=\"Baudh\">Sundargarh<\/option>\r\n  <\/select><\/h2><\/b><\/label>\r\n<label><b><h2>\u0b2e\u0b43\u0b24 \u0b2c\u0b4d\u0b5f\u0b15\u0b4d\u0b24\u0b3f\u0b19\u0b4d\u0b15 \u0b30\u0b3e\u0b1c\u0b4d\u0b5f \u0b1a\u0b5f\u0b28 \u0b15\u0b30\u0b28\u0b4d\u0b24\u0b41:\r\n  <select name=\"state\" id=\"state\" size=\"20\" style=\"background-color:#ffffff\">\r\n    <option value=\"Odisha\">Odisha<\/option>\r\n    <option value=\"Andhra Pradesh\">Andhra Pradesh<\/option>\r\n    <option value=\"Arunachal Pradesh\">Arunachal Pradesh<\/option>\r\n    <option value=\"Assam\">Assam<\/option>\r\n    <option value=\"Bihar\">Bihar<\/option>\r\n    <option value=\"Chhattisgarh\">Chhattisgarh<\/option>\r\n    <option value=\"Goa\">Goa<\/option>\r\n    <option value=\"Gujarat\">Gujarat<\/option>\r\n    <option value=\"Haryana\">Haryana<\/option>\r\n    <option value=\"Himachal Pradesh\">Himachal Pradesh<\/option>\r\n    <option value=\"Jharkhand\">Jharkhand<\/option>\r\n    <option value=\"Karnataka\">Karnataka<\/option>\r\n    <option value=\"Kerala\">Kerala<\/option>\r\n    <option value=\"Madhya Pradesh\">Madhya Pradesh<\/option>\r\n    <option value=\"Maharashtra\">Maharashtra<\/option>\r\n    <option value=\"Manipur\">Manipur<\/option>\r\n    <option value=\"Meghalaya\">Meghalaya<\/option>\r\n    <option value=\"Mizoram\">Mizoram<\/option>\r\n    <option value=\"Nagaland\">Nagaland<\/option>\r\n    <option value=\"Punjab\">Punjab<\/option>\r\n    <option value=\"Rajasthan\">Rajasthan<\/option>\r\n    <option value=\"Sikkim\">Sikkim<\/option>\r\n    <option value=\"Tamil Nadu\">Tamil Nadu<\/option>\r\n    <option value=\"Telangana\">Telangana<\/option>\r\n    <option value=\"Tripura\">Tripura<\/option>\r\n    <option value=\"Uttarakhand\">Uttarakhand<\/option>\r\n    <option value=\"Uttar Pradesh\">Uttar Pradesh<\/option>\r\n    <option value=\"West Bengal\">West Bengal<\/option>\r\n    <option value=\"Andaman and Nicobar Islands\">Andaman and Nicobar Islands<\/option>\r\n    <option value=\"Chandigarh\">Chandigarh<\/option>\r\n    <option value=\"Dadra and Nagar Haveli andDaman & Diu\">Dadra and Nagar Haveli and\r\nDaman & Diu<\/option>\r\n    <option value=\"The Government of NCT of Delhi\">The Government of NCT of Delhi<\/option>\r\n    <option value=\"Jammu & Kashmir\">Jammu & Kashmir<\/option>\r\n    <option value=\"Ladakh\">Ladakh<\/option>\r\n    <option value=\"Lakshadweep\">Lakshadweep<\/option>\r\n    <option value=\"Puducherry\">Puducherry<\/option>\r\n  <\/select><\/h2><\/b><\/label>\r\n<label><b><h2>\u0b06\u0b2c\u0b47\u0b26\u0b28\u0b15\u0b3e\u0b30\u0b40 \u0b2a\u0b30\u0b3f\u0b1a\u0b5f \u0b2a\u0b24\u0b4d\u0b30 \u0b2a\u0b4d\u0b30\u0b2e\u0b3e\u0b23 \u0b1a\u0b5f\u0b28 \u0b15\u0b30\u0b28\u0b4d\u0b24\u0b41:\r\n  <select name=\"applicantidproof\" id=\"identity\" size=\"20\" style=\"background-color:#ffffff\" required=\"\">\r\n    <option value=\"AdharCard\">AdharCard<\/option>\r\n    <option value=\"VoterIDCard\">VoterIDCard<\/option>\r\n    <option value=\"PANCard\">PANCard<\/option>\r\n    <option value=\"DrivingLicenses\">DrivingLicenses<\/option>\r\n\t<option value=\"Passport\">Passport<\/option>\r\n  <\/select><\/h2><\/b><\/label>\r\n<label><b><h2>Attach ID proof of Applicant:<br>\r\n<input type=\"file\"\r\n       id=\"avatar\" name=\"applicantattachfile\"\r\n       accept=\"image\/*,.pdf,.doc,.docx,.xml,application\/msword\" required=\"\"><br>\r\n       <label><font size=\"5\">\u0b2a\u0b39\u0b02\u0b1a\u0b3f\u0b2c\u0b3e \u0b38\u0b2e\u0b5f<\/font><\/label><br>\r\n       <input type=\"datetime-local\" name=\"reachtime\" id=\"reachtime\"  style=\"background-color:#ffffff\" required=\"\"><\/h2><\/b><\/label>\r\n\t   \r\n<font size=\"4\" style=\"color:blue\">\u0b2e\u0b41\u0b01 \u0b18\u0b4b\u0b37\u0b23\u0b3e \u0b15\u0b30\u0b41\u0b1b\u0b3f\u0b15\u0b3f,\u0b09\u0b2a\u0b30\u0b4b\u0b15\u0b4d\u0b24 \u0b38\u0b2e\u0b38\u0b4d\u0b24 \u0b24\u0b25\u0b4d\u0b5f \u0b38\u0b24\u0b4d\u0b5f \u0b0f\u0b2c\u0b02 \u0b38\u0b20\u0b3f\u0b15 \u0b05\u0b1f\u0b47\u0964<\/font> <input  name=\"declaration\" type=\"checkbox\" value=\"All Declaration Are true\"  required=\"\" checked>\r\n<div class=\"g-recaptcha\" data-sitekey=\"6Lc34yciAAAAAPdaIXf4rkUCTi7UHMN_-Ei-w1va\" name='insert' type=\"checkbox\" required=\"\" ><\/div>\r\n<input type=\"submit\" value=\"\u0b26\u0b3e\u0b16\u0b32 \u0b15\u0b30\u0b28\u0b4d\u0b24\u0b41\" id=\"submit\" name='submit' \/>\r\n<input type=\"hidden\" name=\"trp-form-language\" value=\"ory\"\/><\/form>\r\n<\/div>\r\n<\/div>\r\n<\/html>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Swargadwar Seva Samiti, Puri Apply For General Yojana ANNEXURE-A Deceased Details Deceased Name: Deceased Age: Male Female Deceased Father\/Husband Name: Date: Deceased DeathPlace Choose Deceased District: PuriAngulBaudhBalangirBargarhBalesoreBhadrakCuttackDeogarhDhenkanalGanjamGajapatiJharsugudaJajpurJagatsinghapurKhordhaKeonjharKalahandiKandhamalKoraputKendraparaMalkangiriMayurbhanjNabarangpurNuapadaNayagarhRayagadaSambalpurSubarnapurSundargarh Choose a State: OdishaAndhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttarakhandUttar PradeshWest BengalAndaman and Nicobar IslandsChandigarhDadra and Nagar Haveli and Daman &#038; DiuThe Government of NCT of DelhiJammu &#038; KashmirLadakhLakshadweepPuducherry [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_joinchat":[]},"_links":{"self":[{"href":"https:\/\/swargadwar.com\/ory\/wp-json\/wp\/v2\/pages\/3564"}],"collection":[{"href":"https:\/\/swargadwar.com\/ory\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/swargadwar.com\/ory\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/swargadwar.com\/ory\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/swargadwar.com\/ory\/wp-json\/wp\/v2\/comments?post=3564"}],"version-history":[{"count":128,"href":"https:\/\/swargadwar.com\/ory\/wp-json\/wp\/v2\/pages\/3564\/revisions"}],"predecessor-version":[{"id":7221,"href":"https:\/\/swargadwar.com\/ory\/wp-json\/wp\/v2\/pages\/3564\/revisions\/7221"}],"wp:attachment":[{"href":"https:\/\/swargadwar.com\/ory\/wp-json\/wp\/v2\/media?parent=3564"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}