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JAGANANNA VIDYA / VASATI DEEVENA (RTF / MTF), A.

Y :: 2023-2024
FIVE STEP VERIFICATION / RE-VERIFICATION
Student Aadhar Number: *
Student Details:
Student Father
Name: Name:
Part 1 - Confirmation of Studying in the College and Course
College Name
Course Name Course Year
Is the Above Student Continuing in Same College and Course for the Academic year YES NO
2022-23
Part 2 - Confirmation Mother/Guardian Bank Account Details
Mother/Guardian Mother Guardian

Mother/Guardian Name: Mother/Guardian Aadhar


Number:
BankIFSC Code: Bank Account Number
*Bank Details /Bank Account Must Belong To Mother (Guardian Account is allowed only when mother expired.)
Confirm Whether Bank Account Number is Correct (YES / NO)
Confirm Whether Bank IFSC Code is Correct (YES / NO)
Confirm Whether The Bank Account Number is in Active state (YES / NO)
Part 3 - Six Step Validation
Details of Agree/Disagree
Is any Family Member a Government Employee/Pensioner (YES / NO)
Is Any Family Member Paying Income Tax (YES / NO)
Is Four Wheeler Owned by family Member (YES / NO)
Is Land Holding By the Family Beyond Permitted Limits (i.e 25 acres of Dryland or 10 acres of
Wetland or 25 acres of Dryland and Wetland) (YES / NO)
Is Family Owning Property(Commercial/Residential)in Urban Area beyond Permitted Limit (i.e
more than 1500 sqfeet builtup area) (YES / NO)
Family's Total Income Per Annum
Part 4 - Mobile Number And Address Verification
Mobile Number Of Student for Communication
Mobile Number Of Mother for Communication
Municipality/Gram Panchayat: Ward Number:
Door Number: Street/Village:
Colony: Pincode:
Part 5 - Entry of Family Members Details
Rice Card Available (YES / NO) If Yes Rice Card Number:
Number of members living in the family
Details of Other Members of the Family (Other than Student) Based on the Family size of the members as entered
above, The Details have to be Filled for all other Members of the Family
S. Name Aadhar Number Age Gender Relation Education Occupation Mobile
No (M/F) Student Qualification

• ALL Family Members Aadhars Xeroxes to be Enclosed


• Student ID Card, Rice Crad, Student & Mother Bank A/c to be enclosed
Signature of the Student / Parent

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