TELANGANA STATE

GOVERNMENT
ABHAYA HASTHAM

PRAJA PALANA
28.12.2023 – 06.01.2024
Praja Palana Application
(For Mahalaxmi/ Raithu Bharosa/ Gruha Jyothi/ Indiramma House/ Cheyutha Schemes)
FAMILY DETAILS
APPLICANT DETAILS: APPLICATION NO.
1. APPLICANT(HOUSE HOLD) NAME: __________________________________________
2. MALE FEMALE OTHERS
3. SC ST BC MINORITY OTHERS APPLICANT
PHOTO
4. DATE OF BIRTH

5. AADHAAR NO.
6. RATION CARD NO. __________________________________

7. MOBILE NO.
8. OCCUPATION: ______________________________________
9. FAMILY MEMBER DETAILS:
Relation with
S.No Name Gender Date of Birth Aadhaar No.
Applicant

10. Address:
House No. & Street: ______________________________________________________
Village / Municipality: __________________________ Ward No. _________________
Mandal: ____________________________ District: ____________________________
 GET BENEFITS TO THE DETAILS OF
ABHAYA HASTHAM GUARANTEE SCHEMES
(TICK WANT TO GET THE SCHEMES)

 MAHA LAXMI SCHEME:

1. Every Month Rs.2500/- Economical Assistance
2. Gas Cylinder for Rs.500/-
2.1. Gas Connection No. __________________________________________
2.2. Name of the Supplied Company: ________________________________
2.3.No. of Gas Cylinder consumed in a year: __________________________

 RAITHU BHAROSA SCHEME:

1. Rs.15000/- to get every Farmer in a year for one Acre
1.1. Farmer Koul Farmer
1.2. Patta Pass Book No. ____________________________________
1.3. The Land details of Cultivation ________________________(Sy. No. & Area)
2. Rs.12000/- for Agriculture Labor
2.1. NREGA Card No. _____________________________

 INDIRAMMA HOUSING SCHEME:

1. Those who family are not having a House
1.1. Economically assistance to build a house
2. 250 Sq. yard House Land for AMARVEER & Telangana Freedom Fighters
2.1. Family of AMARVEER
Name of AMARVEER __________________ Year of AMARVEER__________
FIR No.____________________ Death Certificate No. _____________________
2.2. Are you participated in Telangana Movement? YES NO
If participated, Relevant FIR No. & Year: _______________________
If you went to JAIL, give the details:
a. Jail Name ______________________ Place ____________________
b. The details of Punishment_______________(Period of Punishment)
 GRUHA JYOTHI SCHEME:
1. Every Month 200 Units free of electricity for a Family
1.1. Monthly consume of electricity in your home:
0-100Units 100-200 Units 200 Above Units
2.2 Electricity Meter Connection No.___________________________

 CHEYUTHA SCHEME:
To get under Cheyutha Scheme for every month Rs.4000/- & Physically Challenged
Pension Rs.6000/- give the below details:
(No need to apply those who are alredy getting pension holders)
1. Physically Challenged SADARAM Certificate No.__________________
2. Others:
Old Age Widow
Geetha Workers Handloom Workers
Dialysis Patient AIDS Patient
Beedi Worker Pension Paileria Patient
Single Woman Pension Beedi Tekedar Pension
Attached Documents:
1. AADHAAR CARD XEROX COPY
2. WHITE RATION CARD XEROX COPY

I certified all the above information is true and correct of my knowledge.

Signature / Thumb Print

Name: ____________________
Date: _____________________

PRAJA PALANA APPLICATION RECEIPT

GP / Ward Code Application No.
Sri/ Smt._____________________________ Father / Husband Name ________________________
To get MAHA LAXMI SCHEME RAITHU BHAROSA SCHEME
INDIRAMMA HOUSING SCHEME GRUHA JYOTHI SCHEME
CHEYUTHA SCHEME for submitted and accepted this application.

Village / Municipality: ___________________ Officer’s Signature

Ward No. _____________________________ Name:_____________________
Mandal:______________________________ Designation:________________
District: ______________________________ Seal:
Date: ________________________________