CSMC
छत्रपती संभाजीनगर महानगरपालिका
Right to Services
CSMC
Application Form For HAWKERS APPLICATION
(Under the National Urban Livelihoods Mission - NULM)
Applicant Details (अर्जदाराचे तपशील)
Title (शीर्षक)
*
-Select-
Mr (श्री)
Mrs (सौ)
Ms (कु)
Please Select Title.
First Name (नाव)
*
Please Enter Valid Name.
Middle Name (मध्य नाम)
*
Please Enter Valid Middle Name.
Surname (आडनाव)
*
Please Enter Valid Surname.
Full Name (संपूर्ण नाव)
Pin Code (पिन कोड)
*
Please Enter Valid Pincode.
Email Id (ई - मेल आयडी)
*
Please Enter Valid EmailId.
Mobile No. (मोबाईल क्र.)
*
Please Enter Valid Mobile Number.
Aadhar No(आधार कार्ड)
*
Please Enter Valid Aadhar No.
Date of Birth
*
Please Enter Valid DOB.
Property Number
*
Please Enter Valid Property No.
Residential Address
House/Plot/Flat No. (घर/प्लॉट/फ्लॅट क्र.)
*
Please enter a valid Plot No.
Name of Building (इमारतीचे नाव)
Please Enter Valid Building Name.
Name Of Layout (लेआउटचे नाव)
*
Please Enter Valid Layout Name.
Name Of Road (रस्त्याचे नाव)
Please Enter Valid Name Of Road.
Nearby Landmark (जवळील लँडमार्क)
City (शहर)
*
Zone No.(झोन क्र.)
*
Select Zone
A-1-TOWN HALL
G-2-MONDHA NAKA
C-3-CENTRAL NAKA
H-4-SAUBHAYA MANGAL KARYALA
B-5-CIDCO- N-6
E-6-CIDCO- N-6
F-7-JAWAHAR COLONY
I-8-SATARA
D-9-KRANTI CHOWK
J-10- RAILWAY STATION
Please Enter Valid Zone No.
Full Address (संपूर्ण पत्ता) (Same as above (वरील प्रमाणे)
Yes (होय)
No (नाही) )
*
Please Enter Valid Address.
Slum
Hut(House without concreter roof) (झोपडी (काँक्रीटच्या छताशिवाय घर))
House with Solid Construction Upto 500 sq.ft. (घन सह 500 चौ.फूट पर्यंत बांधकाम)
House with Solid Construction Above 500 sq.ft. (500 चौ.फूट वरील ठोस बांधकाम असलेले घर.)
Proposed Category for Institutional
IA (Institutional A)
IB (Institutional B)
Proposed Category for Commercial
C1A (Commercial A)
C1B (Commercial B)
C2 (Commercial 2)
Total number of Flats (फ्लॅटची एकूण संख्या)
*
Please enter a valid three-digit Total number of Flats.
Nature of Hawking Business: (Multiple Selections)
Fruits & Vegetables
*
Food & Beverages
*
Clothes & Garments
*
Household Goods
*
Other
*
Other (Specify)
At least one option must be selected.
Other Details
Location of Vending
Duration of Business (in years)
Any Previous Loan Assistance?
Yes
No
if Any Previous Loan ? mention details
Bank Details
Bank Account Number
*
Bank Name
*
Branch Name
*
IFSC Code
*
List of Documents (with attachment)(कागदपत्रांची यादी (संलग्नकांसह))
Note:
Upload below files only .pdf, .jpg, .jpeg, .bmp(Max upto 5 MB)(खाली फक्त .pdf, .jpg, .jpeg, .bmp फाइल अपलोड करा (कमाल ५MB पर्यंत))
Aadhaar Card Copy
*
File selected is either greater than 5Mb or not of type .pdf.
Passport-size Photograph
*
File selected is either greater than 5Mb or not of type .pdf.
Address Proof (Electricity Bill/Ration Card)
*
File selected is either greater than 5Mb or not of type .pdf.
Bank Passbook Copy
*
File selected is either greater than 5Mb or not of type .pdf.
Is your Name in Survey List (Yes/No) ?
Yes
No
Slum Certificate Slum Photo Pass/Kabja Patra(Possession Certificate)(झोपडपट्टी प्रमाणपत्र झोपडपट्टी फोटो पास/कबजा पत्र (ताबा प्रमाणपत्र))
File selected is either greater than 5Mb or not of type .pdf.
Copy Of Tax Receipt (कर पावतीची प्रत)
*
File selected is either greater than 5Mb or not of type .pdf.
Registry/Sale Deed/Agreement of Rent/Consent Letter of Owner(नोंदणी/विक्री करार/मालकाच्या संमती पत्राची प्रत)
*
File selected is either greater than 5Mb or not of type .pdf.
Gumasta License/Licenses For Running Business (गुमास्ता परवाना/व्यवसाय चालवण्यासाठी परवाने)
*
File selected is either greater than 5Mb or not of type .pdf.
Registry/Sale Deed (नोंदणी/विक्री करार)
File selected is either greater than 5Mb or not of type .pdf.
Consent Letter From Flat Owners/Builder Application(Details of Flats)(फ्लॅट मालकांचे संमती पत्र)
*
File selected is either greater than 5Mb or not of type .pdf.
DOD Deed Of Declaration (डीओडी डीड ऑफ डिक्लेरेशन)
File selected is either greater than 5Mb or not of type .pdf.
NMC/NIT Building Sanction Plan (NMC/NIT इमारत मंजुरी योजना)
*
File selected is either greater than 5Mb or not of type .pdf.
Architect Completion Certificate (आर्किटेक्ट पूर्णत्व प्रमाणपत्र)
*
File selected is either greater than 5Mb or not of type .pdf.
Declaration (घोषणा)
*
:-
I, declare that the information provided above is true to the best of my knowledge. I understand that any false information may lead to rejection of my application.
Please check the declaration.
View and Print
Submit
Note(नोंद):
Upload listed files only .pdf, .jpg, .jpeg, .bmp (Max upto 5 MB)
List of document to be attached :
Common Documents
1.Passport-size Photograph *
2.Aadhar Card *(आधार कार्ड )
3.Address Proof (Electricity Bill/Ration Card)*
4.Bank Passbook Copy *