Scribd
Upload
45 views

New Family Registration: Head of Household Details

This document is a new family registration form collecting details of the head of household and family members to create a Parivar Pehchan Patra, or family ID card. It requests identifying information like names, relationships, dates of birth, gender, addresses, mobile numbers, and ID numbers. The form notes that the Parivar Pehchan Patra can help families access benefits across various government schemes related to housing, healthcare, ration cards, pensions, scholarships, licenses, jobs, and more. It certifies that the information provided is accurate and the family has agreed to share it to create the family ID card.

Uploaded by

amitindelhi20027179
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
45 views

New Family Registration: Head of Household Details

This document is a new family registration form collecting details of the head of household and family members to create a Parivar Pehchan Patra, or family ID card. It requests identifying information like names, relationships, dates of birth, gender, addresses, mobile numbers, and ID numbers. The form notes that the Parivar Pehchan Patra can help families access benefits across various government schemes related to housing, healthcare, ration cards, pensions, scholarships, licenses, jobs, and more. It certifies that the information provided is accurate and the family has agreed to share it to create the family ID card.

Uploaded by

amitindelhi20027179
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

New Family Registration

District: _______________________________________ Area (Rural/Urban): _________________________________________

Block/Town: ____________________________________ Ward/Village: _____________________________________________

Head of Household Details

Name: __________________Father Name: _____________Mother Name: _______________ Gender (M/F/T): ____ Age: __________

DOB(DD/MM/YYYY)__________ Declared □ Verified □ Mobile No:____________________ Aadhaar No/EID: _________________________________

* Reason of Addition: ________ Address -> House No: _______ Locality/Colony __________________________ Remarks: _____________________

S.No Name Father Name Mother Name Spouse Name Gender DOB DOB Age Relationship with Aadhaar no./EID Mobile No.
(M/F/T) DD/MM/YYYY D - Declared Head of House (12 digits/ 28
V - Verified hold digits)
1
2
3

5
6
7

* Codes for Reason of Addition 01-New Family Created After Marriage 02-Family Migrated 3. Families Splitting 04-Any other (Specify in Remarks)
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Received Parivar Pehchan Patra form duly filled from Sh. /Smt.................................... S/D/O..................................... resident of..............................................
Name............................ Office Name.................................. Mobile No.....................................
PTO
Benefits of having Parivar Pehchan Patra:- The benefits of various schemes can be easily availed by the eligible household by
showing their Parivar Pehchan Patra for example:
1. Pradhan Mantri Awas Yojana (PMAY) Scheme.
2. Medical benefit/facility: - Ayushman Bharat Scheme etc.
3. Issuance of Ration Card/Ration as per Food Security Act.
4. Family Pension.
5. Old Age Pension/Widow Pension/Phy. Handicapped Pension etc.
6. Various Scholarship Scheme:- Post Matric scholarship etc.
7. Issuance of RC/Driving Licence etc.
8. Social Welfare schemes like Ladli, Vivah Shagun Yojana etc.
9. Agriculture/ Horticulture Departments Schemes-Subsidy on various schemes.
10. Helpful in tracking missing member of the family.
11. Helpful in obtaining Govt/. Private Jobs:- Weightage to those families where no family member is in job.
12. Helpful in seeking admission in school/college etc.
13. Any other Scheme for which the resident is eligible.
Name -----------------------------------

(Signature of Head/Representative of Family)

It is certified that the information given above is true and family members have agreed to give this information for
Parivar Pehchan Patra.

You might also like