Beneficiary Survey Form for all verticals of PMAY - U 2.
Application Number BR032191224152262373
Applicant Name BACHCHU BIND
Pan Card
Date of Birth 01-Jan-1973
Gender Male
Father Name
Mother Name
Employment Status Labour
Occupation of the applicant Labourer
Education Qualification No Education
Household Category EWS
Whether the family owns puccca house any where in No
India.
Average annual household income (in Rs.) 55000
Religion Hindu
Marital Status Married
Category OBC
Special Focus Group No
Preferred component of Scheme BLC
No of years residing in the present city/town More than 10 Years
House Ownership
Type of exisiting house based on roof type
Roof Type
Present Address
House No 0056
Street Name AT-KOYARIBIGHA,PO-
BARBIGHA,PS-
BARBIGHA,SHEIKHPURA
City Name Barbigha
District Name Sheikhpura
State Name Bihar
Mobile Number 8102149686
Email Address
Pincode 811101
Permanent Address
House Number 0056
Street Name AT-KOYARIBIGHA,PO-
BARBIGHA,PS-
BARBIGHA,SHEIKHPURA
City Name Barbigha
District Name Sheikhpura
State Name Bihar
Mobile Number 8102149686
Email Address
Pincode 811101
Address of the proposed house/Flat under PMAY-U 2.0
House Number 0056
Street Name 0056
City Name Barbigha
District Name Sheikhpura
State Name Bihar
Mobile Number 8102149686
Email Address
Pincode 811101
Details of family members
Name Relationship Gender Date of Birth Occupation
with Applicant
KNCHAN DEVI Wife Female 10-Oct-1978 Housewife
BACHCHU BIND Self Male 01-Jan-1973 Labourer
Bank Details
Account Number ********118620
IFSC Code PUNB0MBGB06
Bank Name Dakshin Bihar Gramin Bank
Branch Name BARAO
Have you availed benefit under any Central/State No
sponsored Schemes such as AMRUT 2.0, SBM-U 2.0
DAY-NULM, NHM, PM Surya Ghar: Muft Bijli Yojna,
Ayushman Bharat,Ujjwala Yojna, Ujala etc.
Note 1: All details should be filled up as per Aadhaar only.
Note 2: Consent for Aadhaar Authentication:
a) I hereby state that I have no objection in authenticating myself with Aadhaar based
authentication system and give consent to provide my Aadhaar number, Biometric
and/or One Time Password (OTP) data for Aadhaar based authentication for the
purposes of availing benefits of owning a pucca house under Pradhan Mantri Awas
Yojana - Urban 2.0 (PMAY-U 2.0). I understand that the Aadhaar number, Biometrics
and/or OTP provided for authentication shall be used:
i. for authenticating my identity and
ii. for de-duplication with the previous housing Scheme, PMAY-U 2.0 (all verticals
including Interest Subsidy Scheme) and also for de-duplication with other housing
schemes such as PMAY (Gramin), any State sponsored housing schemes etc.
b) I understand that PMAY-U 2.0, Ministry of Housing and Urban Affairs, Government
of India shall ensure security and confidentiality of my personal identity data provided
for the purpose of Aadhaar based authentication.
c) I hereby declare that the information provided hereunder is correct.
Name : BACHCHU BIND
Mobile Number : 8102149686
Signature of Applicant
Date : 28-12-2024 03:56:29
Place :
Pradhan Mantri Awas Yojana – Urban 2.0 (PMAY-U 2.0). Self-Undertaking by
Beneficiary under BLC
I BACHCHU BIND son/daughter/wife of , born on 01-Jan-1973 presently residing in
0056, AT-KOYARIBIGHA,PO-BARBIGHA,PS-BARBIGHA,SHEIKHPURA ,Barbigha,
Sheikhpura ,Bihar Mobile/Contact 8102149686 by solemnly affirm and declare as
under:
1. That there is no pucca house in my name or any family member name in any part of India.
2. That I belong to EWS category, as my annual household income from all sources is up to <strong>
3,00,000/- (Rupees Three Lakh Only).
3. That I am the owner of the land/property with valid documents where the construction is proposed
situated at0056, 0056 ,Barbigha, Sheikhpura ,BiharThe said land is free from all legal disputes and is
suitable for the construction of house under the PMAY-U 2.0 Scheme.
4. That I or my family member have not availed benefits under any other housing Scheme of the
Government of India or State Government in last 20 years.
5. That I am willing to contribute my share of money for the construction of my house under PMAY-U
2.0, within stipulated time period i.e. Twelve (12) Months from the date of receipt of first instalment
under the PMAY-U 2.0 Scheme.
6. That I shall use the house constructed under PMAY-U 2.0 Scheme only for residential purpose and
shall not use for any other activities.
7. That I shall not sell-out/transfer the house constructed under PMAY-U 2.0 Scheme for a period of
Five (5) years from the date of completion of my house.
8. That I have not applied/availed benefit under any other vertical of PMAY-U 2.0
9. That I shall adhere to all terms and conditions of the PMAY-U 2.0 Scheme.
I hereby declare that all the above information provided by me in the application form is true and
correct to the best of my knowledge and belief. I also understand that non-compliance with respect to
eligibility or submission of false information will lead to legal consequences, including but not limited
to, disqualification from the Scheme and recovery of any benefits already received under PMAY-U 2.0
Scheme.
Name : BACHCHU BIND
Date : 28-12-2024 03:56:29
City : Barbigha
