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অসমীয়া
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Application Form For Arundhati Scheme
Arundhati Scheme Eligibility Criteria
*
Marks fields are Mandatory
Social Community:
Choose Social Community
Tea Tribes Communities
OTHERS
Annual Family Income:
Is Your Marriage registered under Special Marriage Act, 1954?
Yes
No
Is it your First Marriage?
Yes
No
Have you passed at least HSLC or equivalent Exam?
Yes
No
District Name:
Choose District Name
Baksa
Barpeta
Biswanath
Bongaigaon
Cachar
Charaideo
Chirang
Darrang
Dhemaji
Dhubri
Dibrugarh
Dimahasao
Goalpara
Golaghat
Hailakandi
Hojai
Jorhat
Kamrup
Kamrup Metro
Karbi Anglong
Karimganj
Kokrajhar
Lakhimpur
Majuli
Marigaon
Nagaon
Nalbari
Sivasagar
Sonitpur
South Salmara
Tinsukia
Udalguri
West Karbi Anglong
Sub Registrar Office(SRO):
Applicant Details
Applicant (Bride's) Name:
Groom's Name:
Father's Name of Bride:
Mother's Name of Bride:
Address :
Pincode :
Aadhaar No:
Marriage Registered at:
Marriage Registered By:
Marriage Certificate No:
Date of Marriage Solemnised:
Date of Birth Bride:
Date of Birth Groom:
Email Id of Bride:
Mobile No of Bride:
Bank Details
Applicant Name In English as Per Bank Passbook:
Bank Name:
Choose Bank Name
Allahabad Bank
Andhra Bank
Bank of Baroda
Bank of India
Bank of Maharashtra
Canara Bank
Corporation Bank
Central Bank of India
Indian Bank
Indian Overseas Bank
ORIENTAL BANK OF COMMERCE
PUNJAB NATIONAL BANK
PUNJAB AND SIND BANK
State Bank of India
SYNDICATE BANK
UNITED BANK OF INDIA
UCO BANK
UNION BANK OF INDIA
Axis Bank
Bandhan Bank
Federal Bank
HDFC Bank
ICICI Bank
IDBI Bank
IndusInd Bank
KARNATAKA BANK LIMITED
KOTAK MAHINDRA BANK LIMITED
SOUTH INDIAN BANK
YES BANK
Assam Gramin Vikash Bank
Assam Cooperative Apex Bank
Branch Name:
Bank Account No of Bride:
IFSC Code:
Declaration by The Applicant
I hereby declare that all the particulars furnished in this application are true, correct and complete to the best of my knowledge and belief. In the event of any information being found false or incorrect or ineligibility being detected before or after the verification, action will be taken against me by the Revenue and Disaster Management Department,Govt of Assam as per laid down rules.I also assure that the amount received under this scheme will be utilised for purchase of Gold only.
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