Download Application for Financial Assistance Under Prime Ministers Rozgar Yojana (PMRY) Scheme

go¤j ntiya w ÏisP®fS¡fhd Ãujk  Rantiy th ¥ ¤ Â£l  ©z¥g« APPLICATION FORM FOR FINANCIAL ASSISTANCE UNDER PRIME MINISTER'S ROZGAR YOJANA (PMRY) SCHEME FOR EDUCATED UNEMPLOYED YOUTH Application Sl.No. PMRY Regn. No. ......... ......... (Office use only) PMRY -SCHEME OFFICE USE ONLY -CHECK SLIP ON ELIGIBILITY CRITERIA Appln. Form issued to Thiru / Tmt. / Selvi .............................. I) AGE: (i) 18 to 35 years IV) RESIDENCE:Resident of trhe area for 3 (ii) 18 to 45 years for SC/ST years (Relaxed for Married Women and the Affix Recent EXSM. PH and Women Residency Criteria applies to her husband Passport Size or in -laws. Photo II) QUALIFICATION: Min. 8th Std. Pass V) Should not be a defaulter to any bank / F.I. rÛg¤Â  vL¡f¥g£l  gh°ngh®£  msΠ III) FAMILY INCOME: Not exceeding VI) Banks may include the parents / head if¥gl«  Rs.1,00,000/­ of family of unemployed girls as co- x£lΫ p.a. borrowers ORIGINAL DOCUMENTS VERIFIED IN THE PRESENCE OF APPLICANT DURING THE TFC HELD ON _______________ AND FOUND ELIGIBLE AND PHOTOGRAPH ATTESTED. Bank Suggested as per ............................................. Service area norms (Documents evidences to be verified & Signed by DIC Official) Date of Receipt of application: (Office use only) Sponsoring bank branch may kindly affix branch seal here 1 ©z¥gjhu  bga® (Name of the Applicant in block letters) 2 Ïd« Sex (Put / Mark) M© / Male bg© / Female 3 jªij / fzt  bga® / Father's / Husband's Name br Í« bjh  Kft  / Occupation / Address 4 Kft  / Address (Self) a)  uªjukhd  yhr« / Permanent Address b) jft  mD¥g nt©oa  yhr« / Correspondence Address t£l« / Taluk c) flªj _ W M©Lfshf bjhl®ªJ  ©z¥Ã¡F« gF  tÁ¤J tU»Ö®fsh? Whether residing continously for the last three year in the area from where loan is applied (put/mark) M«/ Yes Ï iy / No kj« Religion 5 taJ  gu«/Age particulars eh (Date) khj« (Month) tUl« (Year) a) Ãwªj nj / Date of Birth b)  ©z¥Ã¡F« eh  m W taJ Age as on date of application ___________Years 6 f ¤ jFÂ/ Qualification a) f  r«gªjkhd/ Academic Academic (b)bjh  g Á/ Technical Technical 7 g Á VJ« vL¤ÂU¥Ã  mj   gu« Training undergone, if any (give name of Institution & duration of training) Name of Institution Duration 8 ntiy yhjtuh? m thwh  ntiyth ¥  mYtyf¤Â  gªJ Ç®fsh?/ (Put/mark) Whether the applicant is unemployed? If so Whether registered with Employment Exchange? (Give registration No. & Date) M« Ï iy (*) gÂΠv© f£lha« ÑnH F¿¥Ãl nt©L« Yes / No. gÂΠv© (*) Registration No. eh Date: 9 ©z¥gjhu® MÂÂuh l® k W« gH§Fo d® / Ïju Ã.t. / CdK wt® / K dh  ÏuhQt¤Âduh? Whether the applicant belongs to SC/ST/OBC/ Physically Handicapped / Ex-servicemen? (Put / mark) SC ST BC OBC G Physically Handicapped Ex-Serviceman 10 Jt§f ÏU¡F« bjh  bga® Name of Venture j ik / Nature of Put / Mark bjh Industry nrit Service ahghu« Business 11 K  mDgt« VJ U¥Ã   gu« Previous experience in the line of acitivity, if any mDgt¢rh W Ïiz¡fΫ SUBJECT TO THE CONDITION of getting quotation of Confirming the genuity of Supplier of confirming Candidates family income not exceeding Rs.1,00,000/-p.a. Of getting affidavit, confirming residency of candidate for atleast three years and his family income not exceeding Rs.1,00,000/-p.a. ................................................................... Chairman P.M.R.Y.TASK FORCE COMMITTEE RJD, Chennai.32 / GM, DIC Signature of TFC Members e Amendment made by RJD Change of Bank effected to Applicant's / Bank's Lr. Dt........................... ............................ .............. RJD, Chennai-600032. e Amendment by Task Force Committee Amendment approved by TFC held on.......... (as Per BM's Ltd.No........Dt........) 1) Acticvity Changed to.............. 2) Amount Changed to Rs.......Chairman/TFC o Revalidated for the year............. TFC Member's Signature Chairman/TFC