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Family Type: 
Are you BPL Card Holder?: 
Total number of family members: 
Highest qualification of any family member: 
Working Status: 
No Challenged
Email Id:
Mobile Number: 
Total Members (60 Years or above): 
Total Members (between 25 to 59 Years): 
Total Members (between 6 to 24 Years): 
Total Child (between 0 to 5 Years ): 
Total male members: 
Total female members: 
Do you have Aadhar Card?: 
Do you have Voter Id card?: 
Do you have Rashan Card?: 
Do you have PAN Card?: 
Do you have your own house?: 
Own House