PM Street Vendor’s AtmaNirbhar Nidhi(PM SVANidhi)

(Request for Issue of Letter of Recommendation)

Application No. HP/248043/231208/7357622 Name as per Aadhaar* Sandeep Kumar

Father/Spouse Name* Roshan lal Date Of Birth* 31/03/2003

Marital Status* Single Mobile Number* 9816484780

Gender* Male Social Category* SC

Persons with Disabilities (Divyangjan)* Minority*

KYC Details

R-Token Number*

992471235886

Address as per e-KYC

House No. / Locality* TEHSIL DADAHU State* HIMACHAL PRADESH

Town/Dist* SIRMAUR Ward/Village* Kansar (71)

Pin Code* 173022

Current Address

House No. / Locality* TEHSIL DADAHU State* HIMACHAL PRADESH

Town/Dist* SIRMAUR Ward/Village* Kansar (71)

Pin Code* 173022

Vending Activity

Name Of Activity* Others (Pls Specify) Other Auto repairing

Place Of Vending* Fixed Location Duration Of Vending* 11/2022

Vending Days* All Days Timing of Vending* 08:30 - 20:30

Location/Area of Vending

Stationary Vendor* Vill chandni po bhrog bneri teh kmrau Nearest Landmark* Paonta to dadahu road

Mobile Vendor* Nearest Landmark*

Location/Area of Vending

State * HIMACHAL PRADESH Name of the ULB* Nahan Municipality

Ward Name 06 Ward Number * 06

Pin Code* 173022

Family Details

Name* Relationship With Applicant* Age*

Proof Of Vending

Name Select

Proof of receiving one-time assistance during lockdown (Copy of Bank Account Statement / Pass Book)

Membership details of any street vendors association (Copy of the Membership Card / any other proof of membership)

Any other document in possession of the vendor of ULB, to substantiate as a vendor (Any Other Document To Substantiate Claim as a Vendor)

Request for Local enquiry report by the TVC/ULB (Request letter to the ULB)

Proof of Current Address

Declaration and Authorization:

A. I have been vending in the urban local body on or before “Vending Since (11/2022) selected by SV”.
B. I hereby declare that the above information is correct / accurate to the best of my knowledge.

Date : 08/12/2023 Signature of Applicant(s)

Place : SIRMAUR