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The Livelihood Mission 2021 Application
Please fill up this application form if you would like to avail of the benefits from this Program.
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Full Name of Applicant
*
Your answer
Age of Beneficiary
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MM
/
DD
/
YYYY
Email of Applicant or Guardian (If Minor)
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Your answer
Present Address of Applicant
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Your answer
Phone number of Applicant or Guardian (If minor)
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Your answer
Which of the following categories would apply to the Applicant?
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Children who have lost both their parents
Families who have lost their sole earning member
Which of the following categories would the Applicant like to apply for?
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Health insurance
Financial Support
Dry Ration and Groceries
Educational Scholarships
Employment Opportunities
Required
Name of Deceased Family Member
*
Your answer
Relationship with the Applicant
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Your answer
City of Residence when Death occurred
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Your answer
Date of Death
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MM
/
DD
/
YYYY
Name of Hospital where the death occurred
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Your answer
Cause of Death
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Your answer
Occupation of Deceased
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Your answer
Monthly Income of family (Last 6 months)
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Your answer
Please describe the situation of the proposed beneficiary
Your answer
Name of Person filling Application (if not the Beneficiary)
Your answer
Contact Number of Person filling Application (If not the Beneficiary)
Your answer
Project Mumbai thanks you for filling the application form. Once you submit, our team will begin the process of verification and reach out to you with queries, if any. Stay Safe and Take Care.
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