Name of the District

Name of the HUD

No.of Sanctioned ASHA
No.of In position ASHA

Name of Name of the Name of the

S.No Age of the ASHA
the HUD Block ASHA
 Social Security Scheme

Pradha Mantri Jeevan Jyoti Bima Yojana (PMJJBY)

Date of Joing Enroled in Pradha

Eligible for Pradha Mantri
MantriJeevan Jyoti
Jeevan Jyoti Bima Yojana
Bima Yojana
(PMJJBY) -Yes/ No
(PMJJBY) Yes/NO
 Social Security Schemes

ma Yojana (PMJJBY) Pradha Mantri Suraksha Bima Yojana (PMSBY)

Eligible for Pradha Enroled in Pradha

If Yes Amount paid Mantri Suraksha Mantri Suraksha If Yes Amount paid
per Year for PMJJBY Bima Yojana Bima Yojana per Year for PMSBY
(PMSBY) Yes/No (PMSBY) Yes/No
 Pradhan Mantri Shram Yogi Maandhan (PMSYM)

Eligible for Pradha Enroled in Pradhan if Yes

If Yes AGE at the
Mantri Shram Yogi Mantri Shram Yogi Month/Year of
time of enrollement
Maandhan (PMSYM) Maandhan (PMSYM) enrollement in
in PMSYM
Yes/No Yes/NO PMSYM
M)

If Yes Amount
paid per Month
for PMSYM