Department Of Labour
Application for purchase of houses constructed under
SIHS
Personal Details
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Applicant Name
Father Name
Date Of Birth
Occupation
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Aadhar Number
PAN Number
Mobile Number
E-Mail
Payment Details
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DD No.
Date
Amount
Drawn On
Permanent Address
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Permanent Address
District
-----Select Distict Name -----
Amritsar
Ludhiana
Patiala
Gurdaspur
Jalandhar
Firozpur
Pathankot
Sangrur
Hoshiarpur
Bathinda
Tarn Taran
Moga
Sahibzada Ajit Singh Nagar
Sri Muktsar Sahib
Kapurthala
Mansa
Rupnagar
Faridkot
Shahid Bhagat Singh Nagar
Fatehgarh Sahib
Barnala
Fazilka
Malerkotla
Tehsil
-----Select Tehsil Name -----
Pin Code
Address Proof
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Postal Address
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Address
District
-----Select Distict Name -----
Amritsar
Ludhiana
Patiala
Gurdaspur
Jalandhar
Firozpur
Pathankot
Sangrur
Hoshiarpur
Bathinda
Tarn Taran
Moga
Sahibzada Ajit Singh Nagar
Sri Muktsar Sahib
Kapurthala
Mansa
Rupnagar
Faridkot
Shahid Bhagat Singh Nagar
Fatehgarh Sahib
Barnala
Fazilka
Malerkotla
Tehsil
-----Select Tehsil Name -----
Pin Code
Income Proof
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If tenant/occupant is Income Tax Assesses
X
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If tenant/occupant is not Income Tax Assesses
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Do you have been in continuous possession of the house for last twelve years or more.
Yes
No
If Yes...
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Income Category to which the applicant belongs
(Tick One)
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Economically Weaker Section
(EWS)
,Heaving an annual income not more than rupees three lakhs.
Lower Income Groups
(LIG)
, having an annual income more than rupees three lakhs but not more than rupees eight lakhs.
Medium Income Groups
(MIG)
, having an annual income more than rupees eight lakhs but not more than rupees fifteen lakhs.
High Income Groups
(HIG)
, having an annual income more than rupees fifteen lakhs.
Other Details
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Nominee (in case of death before allotment)
Relationship
Address
Wether the affidavit has been filed and attached by the applicant.
Yes
No
If Yes, give details thereof...
X
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Wether the applicant or his/her spouse has any plot/ house/ land on his/her name or any of the family members.
Yes
No
If Yes, give details thereof...
X
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Signature
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Submit