ಕ ಟಕ ಸ ರ

Sakala Acknowledgement/ಸ ಲ ೕಕೃ

Office Name /ಕ ೕ ಸರು Labour Department/ ಕಇ (Bidar)
Sakala No/ಸ ಲ ಸಂ KB005S230000053
Application Date /ಅ ಯ ಂಕ 03/01/2023
Application for Funeral Assistance/ಅಂತ
Service Requested / ನಂ ದ ೕ
ಸ ಯ ಅ
Applicant Name /ಅ ರರ ಸರು ganesh
Applicant Address /ಅ ರರ ಸ cmc colony mailoor bidar
Mobile No / ೖ ಸಂ 7338398199

Document(s)
Type of document(s)
Attached
Ration Card of the Ration Card of the
family of the deceased family of the deceased
employee employee
Aadhaar Aadhaar card
Employer Certificate Employer Certificate
Adhaar card/Voter
Documents Submitted Any Photo ID proof of
ID/Driver License/ PAN
/ ಖ ಗಳನುಸ ದ Nominee
card/RationCard
Photocopy of ID card
attested by gazetted Id card of Beneficiary
officer
Photocopy of bank
Bank PassBook
passbook
Death Certificate
attested by gazetted Death Certificate
officer
Payment Status / ವ Not Applicable/ಅನ ಸು ಲ
Payment Mode / ವ ನ Not Applicable/ಅನ ಸು ಲ
Transaction ID /ವವ ರಐ Not Applicable/ಅನ ಸು ಲ
Transaction Date and Time /ವವ ರ ಂಕ Not Applicable/ಅನ ಸು ಲ
Transaction Reference Number / ವವ ರಉ ಖ
Not Applicable/ಅನ ಸು ಲ
ಸಂ (As applicable)
Total Amount Paid /ಒಟು ವ ದ ತ Not Applicable/ಅನ ಸು ಲ
Application Fee /ಅ ಶುಲ Not Applicable/ಅನ ಸು ಲ
Service Charge / ೕ ಶುಲ Not Applicable/ಅನ ಸು ಲ
Transaction Charge /ವವ ರ ಶುಲ Not Applicable/ಅನ ಸು ಲ
Note:

1. This service request will be processed within 45 working days. ಈ ೕ ಯ ಅ ಯನು

45 ಲಸದ ನಗಳ ೕ ಡ ಗು ದು
2. You can check the status of this service request on website
http://sevasindhu.karnataka.gov.in/, http://sakala.kar.nic.in/. ಈ ಅ ಯ ಗ ಯನು ಯಲು
http://sevasindhu.karnataka.gov.in/ ಅಥ http://sakala.kar.nic.in/ ೖ ಆ .
3. You can appeal to competent officer in case of your application is rejected/delayed/defaulted
by this designated officer. ಸ ಸ ದ ಅ ಂದ ರಸೃತ ದ / ಳಂಬ ದ / ಗ ತ ಸಮಯ ೕ
ಅ ೕ ದ ಸ ಮ ರವನು ಸಂಪ ಸಬಹುದು

The consent of the Aadhaar number holder(s) has been taken for using Aadhaar number(s) for the under-mentioned purpose: " This aadhar number will be
used for verifying the identity of the applicant"