To avail the benefits of Pradhan Mantri Matru Vandana Yojana, complete the form as given below, extend the benefits of this form to all the poor, you will get complete information about this scheme in your nearest Anganwadi,
Details of Bank / Post Office Account (enclose copy of page of Passbook showing name, account number and bank name
- Name as Bank / P.O. Account
- Account Number
- Bank Name / Branch Name
- IFSC Code (in case of a Bank Account)
- Address Of P.O. (in case of P.O)
- PIN Code of P.O. (in case of P.O)
Details of Anganwadi Centre
- Anganwadi Centre Name
- Anganwadi Centre Code
- Village/Town Name
- Village Code
- Anganwadi Worker / ASHA / ANM Name
- Post Office Name
- State / UT
Document to be enclosed (Photocopy to be enclosed)
- Filled Application Form A1
- Copy Of Identity Proof
- Copy Of MCP Card
- Copy of Bank Passbook
Beneficiary having Aadhaar
I hereby give my consent in accordance with the Aadhaar Act, 2006 & regulations there of for using my Aadhaar to establish and authenticate my identity & verify information given by me to the respective sources to avail the benefits under the PMMVY. The Department shall not furtherer share my identity information to any other entity or for any other purpose without my specific consent
Beneficiary without Aadhaar
I am providing a valid identification, in lieu of Aadhaar, I affi rm that I do not have an Aadhaar as on the date of this application. I affi rm that I have applied for obtaining my Aadhaar number and have furnished my Aadhaar Enrolment ID (EID) for the same and agree to furnish my Aadhaar details as soon as it is available to me. If I have not provided my enrolment ID it is only because I have not been able to enrol for Aadhaar although I am willing to do so. I also provide my consent for making use of my other identification for availing the benefit under this scheme.
Hereby give my consent in accordance with the Aadhaar Act, 2006 & regulations there of for using my Aadhaar to establish and authenticate my identity and verify information given by me to the respective sources to avail the benefits under the scheme. The Department shall not further share my identity information to any other entity or for any other purpose without my specific consent.
👉For First Installment
👉For Third Installment
If you seen any information related to the form, you can call their helpline and find out their phone number : 011-23382393
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