ServicePlus- Selection of Beneficiaries in Fisheries Department

Application for the selection of Beneficiaries under various Schemes of Zilla Panchayat

Instructions to the Applicant (Use TAB to Enter the Details)

Please keep the following Documents READY.
Attach them as ANNEXURES after SUBMITTING this application to COMPLETE the whole process

1) Self-Attested Passport Size Photograph (in JPG format),
2) Caste Certificate (in PDF file),
3) Fisheries Activity Certificate (in PDF file),
4) Vehicle Invoice (in PDF file) for Matsyavahini Scheme,
5) Proof of Certificate in case of Widow / PwD / HIV affected person (in PDF file).

Please use TAB Key to enter the details.

Check the Notification Copy for Last DATE to submit the Online Application

Applicant Details

Name of the District Applying *

Name of the Taluk Applying for *

Name of the Applicant *

Self Attested Passport Size Photograph (in JPG format) *

Father / Mother / Husband's Name *

Date of Birth *

Gender *

Caste / Category *

Address for Correspondence

Mobile Number *

e-Mail Address

State Name *

District Name *

Address (House Number / Colony / Landmark) *

Address (Town / Village / Talu / District) *

PIN Code

Scheme Details

Name of the Scheme *

Membership Details

Are you the Member of any Fisheries' Cooperative Society ? *

Yes

No

Name of the Society *

Membership Number *

Year of Membership taken *

Are you enclosing the Attested Letter taken from Fisheries Cooperative Society ?

Yes

No

Details of the Benefit, if any

Did you get the Benefit from Fisheries Department in Previous Years ? *

Yes

No

Year of Benefit got *

Other Details

Are you a Widow ? *

Yes

No

Are you a Person with Disability (PwD) or Physically Challenged person ? *

Yes

No

Are you a HIV affected person ? *

Yes

No

Declaration

I solemnly declare and affirm that I have completely involved in fishery activities and not availed the above benefit from last 3 Years. *

I Agree *

Additional Details

Apply to the Office*

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