Application Form

ORUNODOI - APPLICATION FORM ORU-ST-1883015

ENTER YOUR NAME^*

MOBILE NUMBER^*

+91

DISTRICT^*

E-MAIL

ADDRESS^*

PINCODE^*

NON ELIGIBILITY REASONS^*

		MARK THE NON ELIGIBILITY REASONS
1		The applicant is not a permanent resident of Assam
2		The applicant is presently not residing in Assam
3		The Composite Household Income of the Applicant is more than 2 Lakh per annum
4		The applicant (nominated female member) does not has a bank account in her name
5		The household does not have a female member
6		The household have former or current MLA/MP
7		The household have current members of PRI/ULB
8		The household have regular serving or retired Government employees
9		The household have regular serving employees of Cooperative Societies
10		The household have Doctors, Engineers, Lawyers, Chartered Accountant, Architects and Registered Government Contractors
11		The household have income tax-payee
12		The household own more than 15 bighas of agricultural land
13		The household own four wheelers, mechanized boat and tractor
14		The household own refrigerator/washing machine or air-conditioner

ATTACHMENT IF ANY

Maximum document size is 4MB