Wednesday, April 9, 2014

DIRECTORATE OF TREASURY AND ACCOUNTS REGISTRATION FORM

DIRECTORATE OF TREASURY AND ACCOUNTS REGISTRATION FORM

Instructions for filling the form:
1. The form is to be submitted to the address –, NSDL e-Governance Infrastructure Limited, Central Recordkeeping
Agency, Times Tower, 1st Floor, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (West), Mumbai,
Maharashtra, PIN- 400013
2. Form to be filled legibly in BLOCK LETTERS and in BLACK INK only.
3. The form should be filled up completely. Details marked with (*) are mandatory fields.
4. Each box, wherever provided, should contain only one character (alphabet/number/punctuation mark) leaving a blank
box after each word.
5. AIN is Account Office Identification Number allotted by Income Tax Department.
6. Email ID should be official Email ID of the Directorate of Treasury and Accounts office & not of any individual person.
Eg: xyzcompany@rediffmail.com
 xyzcompany@yahoo.com
7. Kindly mention the DTA code, if allotted by respective State Governments / Union Territories/State Autonomous
Bodies.
8. The application form in the prescribed format can be freely downloaded from the CRA website
(http://www.npscra.nsdl.co.in).
9. For more information contact CRA at 022-24994200 or write to CRA at NSDL e-Governance Infrastructure Limited,
Central Recordkeeping Agency, Times Tower, 1st Floor, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel
(West) , Mumbai, Maharashtra, PIN- 400013

Request for Activation of Tier-II account under New Pension System (NPS)

Request for Activation of Tier-II account under New Pension System (NPS)

INSTRUCTIONS FOR FILLING THE FORM
a) The form is to be filled by the Subscribers having a PRAN card and Tier 1 account under NPS.
b) Form to be filled legibly in BLOCK LETTERS and in BLACK INK only. Please fill the form in legible handwriting so as to avoid errors in your
application processing. Please do not overwrite. Corrections should be made by cancelling and re-writing and such corrections should be counter-signed by
the applicant.
c) Each box, wherever provided, should contain only one character (alphabet/number/punctuation mark) leaving a blank box after each word. The details
marked with (*) are mandatory.
d) The Subscriber shall provide copy of PRAN and PAN card along with the application form.
e) Applications incomplete in any respect and/or not accompanied by required documents are liable to be rejected. The application is liable to be rejected if
mandatory fields are left blank.
f) Government employees (mandatorily covered under NPS) may submit their application to any POP-SP of their choice. The list of POP-SPs rendering
services under NPS is available on CRA website http://www.npscra.nsdl.co.in
g) Any Indian citizen (other than government employee mandatorily covered under NPS) may submit the application only to the POP-SP through which they
have registered with CRA for Tier 1 account.
h) Subscribers are advised to retain the acknowledgement slip signed/ stamped by the POP-SP where they submit the application.
i) Bank Details :
a. Bank details are mandatory for Tier-II else, account will not be activated. Even if the bank details are same as in Tier II
b. Subscriber shall provide cancelled cheque, the details of which should match with the details provided under Point No.2 on Page 1. . Even if
the bank details are same as in Tier II, the subscriber should provide a „cancelled cheque‟.


j) Subscriber’s Nomination Details
Percentage Share
1) Subscriber can nominate a maximum of three nominees.
2) Subscriber cannot fill the same nominee details more than once.
3) Percentage share value for all the nominees must be integer. Decimals/Fractional values shall not be accepted
in the nomination(s).
4) Sum of percentage share across all the nominees must be equal to 100. If sum of percentage is not equal to 100,
entire nomination will be rejected.
Nominee‟s Guardian Details If a nominee is a minor, then nominee‟s guardian details shall be mandatory.
The nomination exercised for Tier I shall not be automatically applicable to Tier II. A subscriber to Tier II is required to make a fresh nomination.
In case, you want to retain the same nomination as in Tier I, please select “YES” by putting tick mark in the box.

k) Subscriber Scheme Preference
Active choice
1. PFM selection is mandatory. The form shall be rejected if a PFM is not opted for.
2. Allocation under Equity (E) cannot exceed 50%
3. A subscriber opting for active choice may select the available asset classes (“E”, “G”, & “C”). However, the sum of percentage
 allocation across all the selected asset classes must equal 100. If the sum of percentage allocations is not equal to 100%, or the asset
 allocation table at Point No. 4 (iii) is left blank, the application shall be rejected.
Auto choice
4. A subscriber opting for Auto Choice must also select a PFM. The application shall be rejected if the subscriber does not indicate
 his/her choice of PFM
5. In case both investment option and the asset allocation at Point No. 4 (ii) and Point No. 4 (iii) are left blank, the subscriber‟s funds will
be invested as per Auto Choice

 For more details on investment options and asset classes, please refer to the Offer Document.

 GENERAL INFORMATION FOR SUBSCRIBERS
 The Subscriber can obtain the status of his/her application from the CRA website or through the respective POP-SP.
 For more information
 Visit us at http://www.npscra.nsdl.co.in
 Call us at 022-24994200
 e-mail us at info.cra@nsdl.co.in
 Write to: Central Recordkeeping Agency, National Securities Depository Limited, 4th Floor, „A‟ Wing, Trade World, Kamala Mills
 Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai - 400 013.

Covering Letter of DDO for Change in Photo and Signature of Subscriber

Covering Letter of DDO for Change in Photo and Signature of Subscriber

Covering letter for Request for change in Subscriber Signature / Photograph
(To be submitted by DDO in duplicate on official stationery)

To NSDL CRA,

From: Date:

DDO Registration Number:
DDO Name and designation:
DDO’s contact No.:


Enclosed please find ______ (in words) number of request from Subscribers for
Change in Signature and / or Change in Photograph.


I the authorized signatory, have verified the change request and declare that what is
stated is correct and complete.



Yours faithfully,

_______________________________
Signature/Name of authorized signatory
Stamp of DDO

------------------------------------------------------------------------------------------------------------
Instructions:
1. This covering letter is to be provided by the DDO along with the Request for Change
in Subscriber Signature and/or Photograph.
2. Please quote the correct DDO Reg. No. allotted by CRA. The change request forms
are liable to be rejected if incorrect DDO Reg. No. is mentioned.
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Request For Change/Correction in Subscriber Master details And/Or Reissue of I-Pin/T-Pin/PRAN Card

DTO Covering Letter for Subscriber Registration

DTO Covering Letter for Subscriber Registration

Instructions:
1. This covering letter is to be provided by the PAO along with the subscriber registration
forms.
2. The total number of forms per DDO covering letter in a single packet should not exceed 50.
3. The subscriber application forms should be arranged DDO wise along with the respective
DDO covering letter in the same order as mentioned above.
4. The Provisional Receipt Number will be issued DDO wise.
5. Please quote the correct PAO Reg. No. allotted by CRA.. The forms are liable to be
rejected if incorrect PAO Reg. No. is mentioned.

DDO Covering Letter for Subscriber Registration


 Covering letter for Subscriber Registration Application Forms 
(To be submitted by DDO in duplicate on official stationery) 

To NSDL CRA,

From: Date:

DDO Registration Number:
DDO Name and designation:
DDO’s contact No.:


Enclosed please find ___________________________ (in words) number of
Subscriber registration application forms, for the purpose of allotment of
Permanent Retirement Account Number (PRAN).


I the authorized signatory, do hereby declare that what is stated above is correct
and complete.


Yours faithfully,

_______________________________ __________________________________
Signature/Name of authorized signatory Acceptance Date and Stamp of FC branch
Stamp of DDO

------------------------------------------------------------------------------------------------------------
Instructions:
1. This covering letter is to be provided by the DDO along with the subscriber
registration forms.
2. The total number of forms per covering letter should not exceed 50. If the total
subscriber registration forms exceed 50, kindly provide different covering letters.
3. Please quote the correct DDO Reg.No. allotted by CRA. The forms are liable to be
rejected if incorrect DDO Reg. No. is mentioned.
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Declaration in case if the applicant is visually impaired/challenged person or incapable of writing/ illiterate person

Declaration in case if the applicant is visually impaired/challenged person or incapable of 
writing/ illiterate person
I hereby declare that I have fully explained the terms and conditions for registration under
National Pension System (NPS) to the applicant in ……………. (Language name) and I have
truthfully recorded the answers and explained to the applicant and that the applicant has affixed
his/her signatures/thumb impression on the S1 form after duly understanding the contents
thereof.

Name of the Declarant: ………………………….. Signature of the Declarant: ………………………
Address of the declarant ………………………………………...........................
……………………………………………………………………………………
Declaration by Applicant: I hereby declare that I have understood the terms and conditions for
registration under NPS as explained to me and I agree to the standard terms and conditions of National
Pension System (NPS).

Name of the Applicant: ………………………….. Signature/ Thumb Impression* of the Applicant
Address of the Applicant ………………………………………...........................
1. Signature of Witness: 2. Signature of Witness:

Name of Witness: Name of Witness:
Address of Witness:


Address of Witness:

Office Name: …………………… Signature of DDO/DTO/PAO: ………………………
Name of the DDO/DTO/PAO: ………………………………..
Stamp:
* Left thumb impression in case of male and right thumb impression in case of female.
Note: In case if the applicant is illiterate or is visually impaired/challenged or incapable of writing, the
thumb impression of the applicant should be attested by a person of standing whose identity can easily be
established but not related to CRA/PFRDA and this declaration should be made by him/her.

DDO REGISTRATION FORM

DDO REGISTRATION FORM CENTRAL RECORDKEEPING AGENCY

Instructions for filling the form:
1. The form is to be submitted to the address - Central Recordkeeping Agency, NSDL e-Governance Infrastructure Limited,
Times Tower, 1st Floor, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai – 400013.
2. Form to be filled legibly in BLOCK LETTERS and in BLACK INK only.
3. The form should be filled up completely. Details marked with (*) are mandatory fields.
4. Each box, wherever provided, should contain only one character (alphabet/number/punctuation mark) leaving a blank box
after each word.
5. Email ID should be the official Email ID of the Drawing and Disbursing Officer & not of any individual person.
6. Kindly provide Name of the Ministry under which DDO office is functioning.
7. Kindly mention the DDO code allotted by respective State Governments / Union Territories.
8. Kindly mention DTO Registration No. allotted by CRA to the District Treasury Office.
9. Form has to be duly authorised by DTO registered at CRA. Till it has been registered, it shall retain the forms.
10. The application form in the prescribed format can be freely downloaded from the CRA website
(http://www.npscra.nsdl.co.in).
11. TAN is the Tax Deduction and Collection Account Number allotted. by Income Tax Department. New TAN is a ten
character alphanumeric number with the following structure:
First four digits (Alphabets), Next Five digits (Numeric) and last digit (Alphabets).
It is advisable that DDO verifies from the Income Tax website whether TAN has been allotted as per the new format.
12. For more information contact CRA at 022-24994200 or write to CRA at NSDL e-Governance Infrastructure Limited, Times
Tower, 1st Floor, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai – 400013.

DIRECTORATE OF INSURANCE GOVERNMENT OF ANDHRA PRADESH

CENTRAL RECORDKEEPING AGENCY

CENTRAL RECORDKEEPING AGENCY 
Instructions for filling the form:
1. The form is to be submitted to the address - Central Recordkeeping Agency, NSDL e-Governance Infrastructure Limited, Times 
Tower, 1st Floor, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai – 400013.
2. Form to be filled legibly in BLOCK LETTERS and in BLACK INK only.
3. Each box, wherever provided, should contain only one character (alphabet/number/punctuation mark) leaving a blank box after each 
word. Details marked with (*) are mandatory fields.
4. Bank details are mandatory if the DTO will remit the NPS contributions to the Trustee bank (Bank of India)
5. AIN is the Account Identification Number allotted by Income Tax Department.
6. Email ID should be the official Email ID of the DTO & not of any individual person.
7. Kindly mention the DTO code allotted by the respective State Government / Union Territory. If DTO code is less than six digits, 
prefix zeros to make a six digit number. For e.g.
8. Kindly mention DTA Reg. No. allotted by CRA to the Directorate of Treasury and Accounts.
9. Form has to be duly authorised by DTA registered at CRA. Till it has been registered, it shall retain the forms.
10. The application form in the prescribed format can be freely downloaded from the CRA website (http://www.npscra.nsdl.co.in). 
11. For more information contact CRA at 022-24994200 or write to CRA at NSDL e-Governance Infrastructure Limited, Times Tower, 
1st Floor, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai – 400013.

CENTRAL RECORDKEEPING AGENCY

CENTRAL RECORDKEEPING AGENCY

Instructions for filling the form:
1. The form is to be submitted to the address – Central Recordkeeping Agency, NSDL e-Governance Infrastructure Limited,
Times Tower, 1st Floor, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai – 400013.
2. Form to be filled legibly in BLOCK LETTERS and in BLACK INK only.
3. The form should be filled up completely. Details marked with (*) are mandatory fields.
4. Bank details are mandatory if the DTA will remit the NPS contributions to the Trustee bank (Bank of India) on
behalf of District Treasury offices (DTOs)
5. Each box, wherever provided, should contain only one character (alphabet/number/punctuation mark) leaving a blank
box after each word.
6. AIN is Account Office Identification Number allotted by Income Tax Department.
7. Email ID should be official Email ID of the Directorate of Treasury and Accounts office & not of any individual person.
8. The application form in the prescribed format can be freely downloaded from the CRA website
(http://www.npscra.nsdl.co.in).
9. For more information contact CRA at 022-24994200 or write to CRA at NSDL e-Governance Infrastructure Limited,
Times Tower, 1st Floor, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai – 400013.

Allotment of Permanent Retirement Account Number (PRAN)

Application for Allotment of Permanent Retirement Account Number (PRAN)
INSTRUCTIONS FOR FILLING PRAN FORM

a) Form to be filled legibly in BLOCK LETTERS and in BLACK INK only.
b) Details Marked with (*) are the mandatory fields.
c) Each box, wherever provided, should contain only one character (alphabet/number/punctuation mark) leaving a blank box after each word.
d) 'Individual' Subscriber should affix a recent colour photograph (size 3.5 cm x 2.5 cm) in the space provided on the form. The photograph should not
be stapled or clipped to the form. (The clarity of image on PRAN card will depend on the quality and clarity of photograph affixed on the form.)
e) Signature /Left thumb impression should only be within the box provided in the form. The signature should not be on the photograph. If there is any
mark on the photograph such that it hinders the clear visibility of the face of the Subscriber, the application will not be accepted.
f) Thumb impression, if used, should be attested by a Magistrate or a Notary Public or a Gazetted Officer under official seal and stamp.

Sr.
No.
Item No Item Details Guidelines for Filling the Form
Section A - Subscribers Personal Details
1 3. Date of Birth All Dates Should be in “DDMMYYYY” Format
2 6. Present Address All future communications will be sent to present address.
3 8, 9, 10
Phone No., Mobile No,
& Email ID
 It is advisable to mention either “Telephone number” or “Mobile number” or “Email
id” so that Subscriber can be contacted in future for any discrepancy.
4 11
Subscriber’s Bank
Details
For subscribers, the Bank details are mandatory. In case, Bank details are not
available at the time of filling the form, subscriber has to accept the declaration for
providing the Bank details within six months or on opening of Bank account
whichever is earlier.
Section B - Subscribers Employment Details
It is mandatory to fill the Subscriber’s Employment details in the application. The employment details should be filled by the respective DDO of the
Subscriber and should be verified by the Authorised Signatory.
DDO should ratify Overwriting / Striking off of any of the employment details.
5 3. PPAN
Kindly provide the PPAN (Permanent Pension Account Number), if it has been
allotted to the subscriber by the concerned DTO.
6 8 & 9
DTO Reg. No.
&
DDO Reg. No.
DTO Reg. No. and DDO Reg. No. are the unique Registration number allotted by
Central Recordkeeping Agency.

Section C - Subscriber’s Nomination Details
7 4. Percentage Share
Subscriber can nominate maximum of three nominees.
Subscriber can not fill the same nominee details more than once.
Percentage share value for all the nominees must be integer. Fractional value will not
be accepted.
Sum of percentage share across all the nominees must be equal to 100. If sum of
percentage is not equal to 100, entire nomination will be rejected.
8 5.
Nominee’s Guardian
Details
If a nominee is a minor, then nominee’s guardian details will be mandatory.
Section D - Subscriber scheme details

If the Subscriber is unable to mention the Scheme details i.e. PFM Name, Scheme Name & Percentage Allocation he can contact the nearest
Facilitation Centre (FC) for information or the Subscriber can also search for the scheme details on http://www.npscra.nsdl.co.in
9 Scheme
Subscriber can select maximum three schemes. Details of the schemes are available on
http://www.npscra.nsdl.co.in
Subscriber can not fill the same scheme details more than once.
If a scheme name is filled in the form for scheme setup there must be a PFM name and percentage contribution
filled for that scheme.
If the Scheme details are not filled, default scheme as approved by PFRDA will be applicable
10 Percentage Share
Scheme Contribution Value will be in terms of percentage. It cannot be in terms of amount.
Percentage contribution value for all the schemes must be integer. Fractional value will not be accepted.
If the sum of contributions (in percentage) across all the schemes is not equal to 100, the balance will be allotted
to the default scheme approved by PFRDA.

GENERAL INFORMATION FOR PRAN SUBSCRIBERS
a) Subscribers can obtain the application form for PRAN in the format prescribed by PFRDA (Pension Fund Regulatory & Development Authority)
from DDO or can freely download from the CRA website (http://www.npscra.nsdl.co.in ).
b) The request for a reprint of PRAN card with the same PRAN details or/and changes or correction in PRAN data can be made by filling up
'Request for change/correction in subscriber master details and/or re-issue of I-Pin/T-Pin/PRAN card’ or/and ‘Request For change in
signature and/or change in photograph’. The form is available from the sources mentioned in (a) above.
c) The Subscriber can obtain the status of his/her application from the CRA website or through the respective DTO.
d) For more information
 Visit us at http://www.npscra.nsdl.co.in
 Call us at 022-2499-4200
 e-mail us at info.cra@nsdl.co.in
Write to: Central Recordkeeping Agency, NSDL e-Governance Infrastructure Limited, 1st
 Floor, Times Tower, Kamala Mills
Compound, Senapati Bapat Marg, Lower Parel (W), Mumbai - 400 013. 

for Trade License

Application for Trade License 

Trade Owner-I 
Name: ________________________________________________________________________________________ 
Sur Name: ____________________________________________________________________________________ 
Pan card No: _________________________________ Relationship Type: Father/Husband 
Father's/Husband's Name: _______________________________________________________________________ 
Father's/Husband's Surname: _____________________________________________________________________ 
Owner SSID: ___________________________________ Tin/GST No: _________________________ 
Address 
Door No: ______________________________________ Street: ______________________________ 
Village/City: ____________________________________ 
State: _________________________________________ District: _____________________________ 
Pin Code: ______________________________________ 
Contact Detail 
Landline Phone No: _______________________________ Mobile No: __________________________ 
Fax: ____________________________________________ E Mail address: _______________________ 
 Trade Owner-II 
Name: ________________________________________________________________________________________ 
Sur Name: ____________________________________________________________________________________ 
Pan card No: _________________________________ Relationship Type: Father/Husband 
Father's/Husband's Name: _______________________________________________________________________ 
Father's/Husband's Surname: _____________________________________________________________________ 
Owner SSID: ___________________________________ Tin/GST No: _________________________ 
Address 
Door No: ______________________________________ Street: ______________________________ 
Village/City: ____________________________________ 
State: _________________________________________ District: _____________________________ 
Pin Code: ______________________________________ 
Contact Detail 
Landline Phone No: _______________________________ Mobile No: __________________________ 
Fax: ____________________________________________ E Mail address: _______________________ 
 Trade Owner-III 
Name: ________________________________________________________________________________________ 
Sur Name: ____________________________________________________________________________________ 
Pan card No: _________________________________ Relationship Type: Father/Husband 
Father's/Husband's Name: _______________________________________________________________________ 
Father's/Husband's Surname: _____________________________________________________________________ 
Owner SSID: ___________________________________ Tin/GST No: _________________________ 
Address 
Door No: ______________________________________ Street: ______________________________ 
Village/City: ____________________________________ 
State: _________________________________________ District: _____________________________ 
Pin Code: ______________________________________ 
Contact Detail 
Landline Phone No: _______________________________ Mobile No: __________________________ 
Fax: ____________________________________________ E Mail address: _______________________ 
 Trade Details 
Trade Title: ___________________________________ Trade Nature: Temporary/Permanent 
From Date: ___________________________________ To Date: ____________________________ 
Address 
Door No: ______________________________________ Street: ______________________________ 
Village/City: ____________________________________ 
State: _________________________________________ District: _____________________________ 
Pin Code: ______________________________________ Location Details: ______________________ 
Contact Detail 
Landline Phone No: ______________________________ Mobile No: __________________________ 
Fax: ___________________________________________ E Mail address: _______________________ 
Category Type: __________________________________ Sub Category: ________________________ 
Whether Documents enclosed: Yes/No License required: _____________________ 
Document Details-I 
Document Name: ________________________________ 
Document Details-II 
Document Name: ________________________________ 
Document Details-III 
Document Name: ________________________________ 

Monday, April 7, 2014

NPDCL Load Change Application Form

School Registration Application Form

Certified Copies Issued by RDO Application Form

CDMA Non Availability Certificate for Death Application Form

CDMA Non Availability Certificate for Birth Application Form

Possession Certificate Application Form

adangal(or)Pahani corrections Application Form

Know Your Aadhaar Application Form

CERTIFIED COPIES OF TSLR APPLICATION FORM

GHMC Child Name Entry Entry Below 1YR Application Form

GHMC Child Name Entry Entry After 1YR Application Form

Ration Card Data Corrections Application Form

APPLICATION FOR BIRTH CERTIFICATE - CDMA

Localization of Properties Application Form

Demarcation Service Application Form1

Certified Copies OF ROM Application Form

Appeals on Demarcation Application Form

Agriculture income Application Form

Apathbandu Application Form

Apathbandu Application Form

SERVICES OFFERED
Sl. No. Service Service Level Service Charges (`)
1 Extract of Adangal / Pahani 15 Minutes * 25/-
2 Extract of ROR 1B 15 Minutes * 25/-
3 Copy of FMB 15 Minutes * 25/-
4 Copy of Village Map 5 Days 35/-
5 F-Line Petitions 30 Days 35/-
6 Sub-Division of Lands 30 Days 35/-
7 Mutation of Entries in Revenue Records 45 Days 35/-
8 Income Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
9 Residence Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
10 Integrated Certificate 1st time - 30 days 2nd time & 35/-
(Caste-Nativity-Date of Birth) thereafter - 15 minutes
11 OBC Caste Certificate 1st time - 30 days 2nd time & 35/-
thereafter - 15 minutes
12 EBC Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
13 Agricultural Income Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
14 No Earning Member Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
15 Family Member Certificate 1st time - 7 days 2nd time & 35/-
(Social Security Schemes & thereafter - 15 minutes
Govt. Employees / Pensioners)
16 Issue of Encumbrance Certificate Same day, if submitted by 2 pm 25/-
17 Certified Copy of Registration Document 15 minutes 25/-
18 Money Lending License Fresh - 45 days Renewal - 30 days 35/-
19 Allopathic Medical Care Registration 90 Days 35/-
20 Apathbandhu Scheme 10 Days 35/-
21 NFBS Application 1 Week 35/-
22 No Objection Certificate (Lands) 30 Days 35/-
23 Pawn Broker License Fresh - 45 days Renewal - 30 days 35/-
24 School Registration 1 Week 35/-
25 Birth Certificate - GHMC 15 Mins. (Category-A) 25/- per transaction + statutory charges
5/- per additional copy
26 Death Certificate - GHMC 15 Mins. (Category-A) 25/- per transaction + statutory charges
5/- per additional copy
27 Birth Certificate Corrections - GHMC 6 Working Days 60/- + 25/- per copy of certificate
28 Death Certificate Corrections - GHMC 6 Working Days 60/- + 25/- per copy of certificate
10/- + 25/- per copy of certificate
(after one year)
29 Child Name Inclusion - GHMC 6 Working Days 25/- per copy of certificate
(within one year)
30 Non Availability Certificate Birth - GHMC 3 Working Days 25/- per copy of certificate

Current Adangal Application Form

EC Physical Application Form

EBC Application Form

F_Line Petition Application Form

FAMC SOCIAL SECURITY Application Form

FAMC GOVT Employees Application Form

FMB Application Form

GHMC Birth Application Form

GHMC Death Application Form

Hospital Registration Application Form

Hospital Registration Application Form

SERVICES OFFERED
Sl. No. Service Service Level Service Charges (`)
1 Extract of Adangal / Pahani 15 Minutes * 25/-
2 Extract of ROR 1B 15 Minutes * 25/-
3 Copy of FMB 15 Minutes * 25/-
4 Copy of Village Map 5 Days 35/-
5 F-Line Petitions 30 Days 35/-
6 Sub-Division of Lands 30 Days 35/-
7 Mutation of Entries in Revenue Records 45 Days 35/-
8 Income Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
9 Residence Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
10 Integrated Certificate 1st time - 30 days 2nd time & 35/-
(Caste-Nativity-Date of Birth) thereafter - 15 minutes
11 OBC Caste Certificate 1st time - 30 days 2nd time & 35/-
thereafter - 15 minutes
12 EBC Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
13 Agricultural Income Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
14 No Earning Member Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
15 Family Member Certificate 1st time - 7 days 2nd time & 35/-
(Social Security Schemes & thereafter - 15 minutes
Govt. Employees / Pensioners)
16 Issue of Encumbrance Certificate Same day, if submitted by 2 pm 25/-
17 Certified Copy of Registration Document 15 minutes 25/-
18 Money Lending License Fresh - 45 days Renewal - 30 days 35/-
19 Allopathic Medical Care Registration 90 Days 35/-
20 Apathbandhu Scheme 10 Days 35/-
21 NFBS Application 1 Week 35/-
22 No Objection Certificate (Lands) 30 Days 35/-
23 Pawn Broker License Fresh - 45 days Renewal - 30 days 35/-
24 School Registration 1 Week 35/-
25 Birth Certificate - GHMC 15 Mins. (Category-A) 25/- per transaction + statutory charges
5/- per additional copy
26 Death Certificate - GHMC 15 Mins. (Category-A) 25/- per transaction + statutory charges
5/- per additional copy
27 Birth Certificate Corrections - GHMC 6 Working Days 60/- + 25/- per copy of certificate
28 Death Certificate Corrections - GHMC 6 Working Days 60/- + 25/- per copy of certificate
10/- + 25/- per copy of certificate
(after one year)
29 Child Name Inclusion - GHMC 6 Working Days 25/- per copy of certificate
(within one year)
30 Non Availability Certificate Birth - GHMC 3 Working Days 25/- per copy of certificate

Income Feereimbursement Application Form

Income Feereimbursement Application Form

SERVICES OFFERED
Sl. No. Service Service Level Service Charges (`)
1 Extract of Adangal / Pahani 15 Minutes * 25/-
2 Extract of ROR 1B 15 Minutes * 25/-
3 Copy of FMB 15 Minutes * 25/-
4 Copy of Village Map 5 Days 35/-
5 F-Line Petitions 30 Days 35/-
6 Sub-Division of Lands 30 Days 35/-
7 Mutation of Entries in Revenue Records 45 Days 35/-
8 Income Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
9 Residence Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
10 Integrated Certificate 1st time - 30 days 2nd time & 35/-
(Caste-Nativity-Date of Birth) thereafter - 15 minutes
11 OBC Caste Certificate 1st time - 30 days 2nd time & 35/-
thereafter - 15 minutes
12 EBC Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
13 Agricultural Income Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
14 No Earning Member Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
15 Family Member Certificate 1st time - 7 days 2nd time & 35/-
(Social Security Schemes & thereafter - 15 minutes
Govt. Employees / Pensioners)
16 Issue of Encumbrance Certificate Same day, if submitted by 2 pm 25/-
17 Certified Copy of Registration Document 15 minutes 25/-
18 Money Lending License Fresh - 45 days Renewal - 30 days 35/-
19 Allopathic Medical Care Registration 90 Days 35/-
20 Apathbandhu Scheme 10 Days 35/-
21 NFBS Application 1 Week 35/-
22 No Objection Certificate (Lands) 30 Days 35/-
23 Pawn Broker License Fresh - 45 days Renewal - 30 days 35/-
24 School Registration 1 Week 35/-
25 Birth Certificate - GHMC 15 Mins. (Category-A) 25/- per transaction + statutory charges
5/- per additional copy
26 Death Certificate - GHMC 15 Mins. (Category-A) 25/- per transaction + statutory charges
5/- per additional copy
27 Birth Certificate Corrections - GHMC 6 Working Days 60/- + 25/- per copy of certificate
28 Death Certificate Corrections - GHMC 6 Working Days 60/- + 25/- per copy of certificate
10/- + 25/- per copy of certificate
(after one year)
29 Child Name Inclusion - GHMC 6 Working Days 25/- per copy of certificate
(within one year)
30 Non Availability Certificate Birth - GHMC 3 Working Days 25/- per copy of certificate

Hospital Registration Application Form

Integrated ST Application Form

Income GENERAL Application Form

ISSUE OF COMMUNITY, NATIVITY AND DATE OF BIRTH CERTIFICATE RELATING TO SOCIALY AND EDUCATIONALY BACKWARD CLASSES OF MUSLIMS

ISSUE OF COMMUNITY, NATIVITY AND DATE
OF BIRTH CERTIFICATE RELATING TO SOCIALY AND EDUCATIONALY
BACKWARD CLASSES OF MUSLIMS

SERVICES OFFERED
Sl. No. Service Service Level Service Charges (`)
1 Extract of Adangal / Pahani 15 Minutes * 25/-
2 Extract of ROR 1B 15 Minutes * 25/-
3 Copy of FMB 15 Minutes * 25/-
4 Copy of Village Map 5 Days 35/-
5 F-Line Petitions 30 Days 35/-
6 Sub-Division of Lands 30 Days 35/-
7 Mutation of Entries in Revenue Records 45 Days 35/-
8 Income Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
9 Residence Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
10 Integrated Certificate 1st time - 30 days 2nd time & 35/-
(Caste-Nativity-Date of Birth) thereafter - 15 minutes
11 OBC Caste Certificate 1st time - 30 days 2nd time & 35/-
thereafter - 15 minutes
12 EBC Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
13 Agricultural Income Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
14 No Earning Member Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
15 Family Member Certificate 1st time - 7 days 2nd time & 35/-
(Social Security Schemes & thereafter - 15 minutes
Govt. Employees / Pensioners)
16 Issue of Encumbrance Certificate Same day, if submitted by 2 pm 25/-
17 Certified Copy of Registration Document 15 minutes 25/-
18 Money Lending License Fresh - 45 days Renewal - 30 days 35/-
19 Allopathic Medical Care Registration 90 Days 35/-
20 Apathbandhu Scheme 10 Days 35/-
21 NFBS Application 1 Week 35/-
22 No Objection Certificate (Lands) 30 Days 35/-
23 Pawn Broker License Fresh - 45 days Renewal - 30 days 35/-
24 School Registration 1 Week 35/-
25 Birth Certificate - GHMC 15 Mins. (Category-A) 25/- per transaction + statutory charges
5/- per additional copy
26 Death Certificate - GHMC 15 Mins. (Category-A) 25/- per transaction + statutory charges
5/- per additional copy
27 Birth Certificate Corrections - GHMC 6 Working Days 60/- + 25/- per copy of certificate
28 Death Certificate Corrections - GHMC 6 Working Days 60/- + 25/- per copy of certificate
10/- + 25/- per copy of certificate
(after one year)
29 Child Name Inclusion - GHMC 6 Working Days 25/- per copy of certificate
(within one year)
30 Non Availability Certificate Birth - GHMC 3 Working Days 25/- per copy of certificate

Mutation + Pattadhar Passbook Application Form

New Pattadhar Passbook Application Form

CLAIMING FAMILY BENEFIT(FB) UNDER NSAP

CLAIMING FAMILY BENEFIT(FB)
UNDER NSAP

SERVICES OFFERED
Sl. No. Service Service Level Service Charges (`)
1 Extract of Adangal / Pahani 15 Minutes * 25/-
2 Extract of ROR 1B 15 Minutes * 25/-
3 Copy of FMB 15 Minutes * 25/-
4 Copy of Village Map 5 Days 35/-
5 F-Line Petitions 30 Days 35/-
6 Sub-Division of Lands 30 Days 35/-
7 Mutation of Entries in Revenue Records 45 Days 35/-
8 Income Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
9 Residence Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
10 Integrated Certificate 1st time - 30 days 2nd time & 35/-
(Caste-Nativity-Date of Birth) thereafter - 15 minutes
11 OBC Caste Certificate 1st time - 30 days 2nd time & 35/-
thereafter - 15 minutes
12 EBC Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
13 Agricultural Income Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
14 No Earning Member Certificate 1st time - 7 days 2nd time & 35/-
thereafter - 15 minutes
15 Family Member Certificate 1st time - 7 days 2nd time & 35/-
(Social Security Schemes & thereafter - 15 minutes
Govt. Employees / Pensioners)
16 Issue of Encumbrance Certificate Same day, if submitted by 2 pm 25/-
17 Certified Copy of Registration Document 15 minutes 25/-
18 Money Lending License Fresh - 45 days Renewal - 30 days 35/-
19 Allopathic Medical Care Registration 90 Days 35/-
20 Apathbandhu Scheme 10 Days 35/-
21 NFBS Application 1 Week 35/-
22 No Objection Certificate (Lands) 30 Days 35/-
23 Pawn Broker License Fresh - 45 days Renewal - 30 days 35/-
24 School Registration 1 Week 35/-
25 Birth Certificate - GHMC 15 Mins. (Category-A) 25/- per transaction + statutory charges
5/- per additional copy
26 Death Certificate - GHMC 15 Mins. (Category-A) 25/- per transaction + statutory charges
5/- per additional copy
27 Birth Certificate Corrections - GHMC 6 Working Days 60/- + 25/- per copy of certificate
28 Death Certificate Corrections - GHMC 6 Working Days 60/- + 25/- per copy of certificate
10/- + 25/- per copy of certificate
(after one year)
29 Child Name Inclusion - GHMC 6 Working Days 25/- per copy of certificate
(within one year)
30 Non Availability Certificate Birth - GHMC 3 Working Days 25/- per copy of certificate