Silai Machine Yojna - GMBVSS Trust

Email:
contactus@gmbvsstrust.org

APPLICATION FORM FOR FREE SUPPLY OF SEWING MACHINES

Gramin Mahila Aaur Bal Vikash Sewa Sangh Trust

Mob:
+91 8235881010

1. Name of the Applicant *

2. Male / Female *

Female Male

3. Mobile Number *

4. Date of birth & Age (20-40 Yrs) *

Date of Birth

Age

Passport size
photo enclosed
(3.5cm x 4.5cm)

(Max 30KB Image)
(Click to Upload)

DETAILED INFORMATION

5. Address *

6. Caste / Community *

7. Annual Income *

Should be below Rs. 1,20,000/- as per certificate.

8. Under what reason the Sewing Machine requested? *

Poor Destitute widow Deserted wife Handicapped

9. Is sewing machine was received previously? *

Yes No

10. From whom the stitching was trained? *

CERTIFICATES TO BE ENCLOSED (FILE UPLOADS)

1. Income Certificate (Below Rs.1,20,000/-) *

Choose PDF File...

2. Proof for Age (20 to 40 years) *

Choose PDF File...

3. Community Certificate *

Choose PDF File...

4. Proof for knowing Tailoring *

Choose PDF File...

5. Special Certificate (Handicapped/Widow/Deserted)

*If applicable based on reason

Choose PDF File...

Declaration: I hereby declare that all the information submitted by me in the application form is correct, true and valid. The enclosed certificates are genuine. I understand that if any information is found false, my application will be rejected.

Signature *
(Max 20KB) • (Click to Upload)

Signature of Applicant

GMBVSS Trust

Application Form

Application Submitted!

APPLICATION FORM FOR FREE SUPPLY OF SEWING MACHINES