Beneficiary Proposal

Verify By:

Aadhar

Aadhar:

Applicant Details: (Enter Name as on Aadhar)

First Name:

Middle Name:

Last Name:

First Name:

Middle Name:

Last Name:

Applicant Mobile No.

Applicant Address :

Applicant Email Id

District :

Taluka :

Applicant Pincode :

Document Name	Document Number
Aadhar: (Aadhar no. & Aadhar document mandatory)		Upload Document
Voter ID:		Upload Document
PAN:		Upload Document
Identity Card:		Upload Document
Light Bill (For Address):		Upload Document

Applicant Site Details : (Fill information same as on sanctioned documents)

Application Type:

Beneficiary Proposal

Lease Type:

Proposal Level:

District:

Taluka:

Village:

Scheme Name:

Corporation / Panchayat Name:

Registration No.:

Scheme Sanctioned Date:

Sanction No.:

Mineral:

Allowed Quantity:

Already Used Quantity:

Brass

Application Quantity:

Brass

Interstate Mineral Transport Temporary Proposal Beneficiary Proposal