Government of West Bengal
Backward Classes Welfare Department

Application For Incentive of Inter-Caste Marriage

Personal Details Of Applicant(must belong to SC)

Please Enter Personal Details


Title* MR. MRS.
Name*
Father's Name*
Date of Birth*
Contact No.*
Caste Type*
Sub Caste*
Present Address of Applicant
House No./Road Name/Village*
District*
Sub Division*
Area Type* Block  Municipality
Block*
Municipality*
Post Offce*
Police Station*
Pin Code*
 

Details of Id Proof of Applicant

Please Enter Id Details


Voter Id/EPIC No.*
Caste Certificate No.*
Aadhaar Card No.
   
PAN Card No.
Other Id Proof

Personal Details Of Spouse/Co-Applicant(must belong to General)

Please Enter Personal Details


Title* MR. MRS.
First Name*
Father's Name*
Date of Birth*
Contact No.*
Caste Type*
Sub Caste*
Present Address
House No./Road Name/Village*
District*
Sub Division*
Area Type* Block  Municipality
Block*
Municipality*
Post Offce*
Police Station*
Pin Code*

Details of Id Proof of Spouse/Co-Applicant

Please Enter Id Details


Voter Id/ EPIC No.*
Certificate No.
(Certificate given by local authority on general caste)
Aadhaar Card No.
 
PAN Card No.
Other Id Proof

Marriage Details

Please Enter Marriage Details


Date of Marriage*
Details of Marriage Registration Certificate*
Whether Living Together* YES NO
Duration of Marriage*
Whether any Child is Born out of This Wedlock* YES NO
Whether any Such Grant has been Received Earliear from any Autnority* YES NO
I hereby declare that the above information are true to the best of my konwledge and i shall be entirely responsible for these information. I understood that the grant amount will be forfeited if any of the information is found incorrect & I will bound to refund any granted amount paid in this time to the Government.
Validation code:


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