family id proforma

Family Basic Information

Family Head Name	Address	Ward/Village	Block/Town	District

                                                                 Family Members

Sr. No

Name

Gender

Father Name

Mother Name

Marital status

Spouse Name

Relation with Head

Aadhar Number

D.O.B

Age

Mobile number

Remarks

1

2

3

4

5

6

7

In case correct date is not available in database the date of birth is calculated from age and vice-versa.

Declaration: It is certified that the information given above is true and family members have given their consent to share this information for Parivar Pehchan Patra.

                                                                                                                                                                                  Applicant Signature