Application Form

Please provide information in this form regarding individuals who may require assistance due to COVID-19. This assistance could be related to medical, psychological, or social support.
Thank you for your assistance!

   
What type of assistance is required?
Please select the requirements
(You can choose more than one option)
What facilities are required in connection with hospital admission?
(You can choose more than one option)
What type of social security is required?
(You can choose more than one option)
Pension : What type of assistance is required?
(You can choose more than one option)
Ration : What type of assistance is required?
(You can choose more than one option)
Livelihood / Employment : What type of assistance is required?
(You can choose more than one option)
Home Construction : What type of assistance is required?
(You can choose more than one option)
Health and Insurance : What type of assistance is required?
(You can choose more than one option)
Related to Registered Laborers : What type of assistance is required?
(You can choose more than one option)
Education and Scholarships : What type of assistance is required?
(You can choose more than one option)
Other : What type of assistance is required?
(You can choose more than one option)
Eligibility for pension: Elderly Pension Scheme: All citizens aged 60 years and above
Widow Pension Scheme: Widowed women aged 18-60 years.
Disability Pension Scheme: All individuals with disabilities
Eligibility for ration: Ration: All ration cardholders (Antyodaya and PHP cards)
Eligibility for home construction: Home Construction: All EWS families (annual income less than 3 lakh) and LIG families (annual income between 3 - 6 lakh)
Eligibility for insurance: Health Insurance: Ayushman cardholders
Accident Insurance: All bank account holders (aged 18 to 70 years)
Life Insurance: All bank account holders (aged 18 to 50 years)
Eligibility for education and scholarships: School Education: All children aged 6-14 years
Scholarships: Meritorious students and children of registered laborers under the BOCW scheme
Eligibility for livelihood: Loan (Mudra Scheme): All citizens aged 18 years and above
Swanidhi Scheme: Street vendors (hawkers)