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Family Type: 
Are you BPL Card Holder?: 
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Highest qualification of any family member: 
Working Status: 
Indian Residence
Mentally Challenged from birth
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Total Members (60 Years or above): 
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Total Members (between 6 to 24 Years): 
Total Child (between 0 to 5 Years ): 
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Do you have your own house?: 
Rented House