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JVD Five Steps Verification Form

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tharakaratnareddi
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469 views1 page

JVD Five Steps Verification Form

Uploaded by

tharakaratnareddi
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
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JAGANANNA VIDYA DEEVENA - FIVE STEP VERIFICATION

BASIC STUDENT DETAILS

Student Aadhaar No. : Student Regn. No. :

Student Name : Father Name :

PART-1 : CONFIRMATION OF STUDYING IN THE COLLEGE AND COURSE

College Name :

Course Name : Course Year :

PART-2 : CONFIRMATION OF MOTHER / GUARDIAN BANK ACCOUNT DETAILS

Mother / Guardian Name : Mother / Guardian Aadhaar No. :

Mother / Guardian Bank Account Number : Mother / Guardian Bank Account IFSC :

*Note: Bank Account Must Belong To Mother (Gaurdian A/C is allowed only when mother expired.)

PART-3 : FIVE STEP VALIDATION

Is any Family Member a Govt. Employee / Pensioner ? (Yes / No) :

Is Any Family Member Paying Income Tax ? (Yes / No) :

Is 4 Wheeler Owned by family Member ? (Yes / No) :


Is Land Holding By the Family Beyond Permitted Limits ? (Yes / No) :
(i.e 25 acres of Dryland or 10 acres of Wetland or 25 acres of Dryland and Wetland)
Is Family Owning Property (Commercial/Residential) in Urban Area beyond Permitted Limit ? (Yes / No) :
(i.e more than 1500 sqfeet builtup area)

Family's Total Income Per Annum : Rs.

PART-4 : MOBILE NUMBER AND ADDRESS VERIFICATION

Student Mobile No. : Mother / Guardian Mobile No. :

Municipality / Grama Panchayat : Ward No. :

Door No. : Street / Village :

Colony : Pin Code :

PART-5 : ENTRY OF FAMILY MEMBERS DETAILS

Rice Card Number : No. of Members in Family :


Relation with Education
S.No Name Aadhaar No. Age Gender Occupation Mobile No.
Student Qualification

Sign. of the Volunteer Sign. of the Father/Mother/Guardian Sign. of the Student

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