Padmalaya Trust of India

e-Application Form For Aid

Note: Information box left blank will cause rejection of the application.

PART-A

Name of the Applicant (in full)

Date of birth

Age as on date

Caste / Sub-caste

Educational qualification

Last pass-out year / date

Husband's occupation(at the time of Divorce)

Father's occupation

Monthly income of Applicant, at present

Source of income

No. of family members staying with applicant at present

Permanent / Present address with phone no:

Contact No.(Mandatory)

Email id (Mandatory)

PART-B

No. of sons:

No. of daughters:

Details of sons: (Name, Age, Std of Study / Qualification )

Details of daughters:(Name, Age, Std. of Study / Qualification)

PART-C

Year of Divorce

Divorce Documents / Certificate available (Yes / No)

Describe the Reason of Divorce

Name of SHG (if associated with any SHG)

Whether interested for Entrepreneurship (Yes / No )

Type of Entrepreneurship

Whether associated with any Social Organisation (NGO / Welfare Society / Trust etc.) (Yes/No)

Nature of the Organisation associated with

Address & Contact No. of Organisation associated with

Any other information, if wish to provide

The information furnished by the applicant must be correct. If any information furnished by the applicant is found false or fake or insufficient details, the application will be rejected without prior notice and without further intimation and reference
Submission of application does not mean that the applicant is eligible for Aid.
Trust reserves rights to reject or sanction any or all applications