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Identity Card Form
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1. Full Name of Artisan
Name Of the Head Of the Unit/HouseHold,If Any
2. Gender:
   Male    Female    Transgender
3. Date of Birth:
Please Attach DOB Proof (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
4. Address
House No./Bldg./Apt.
Landmark.
Village/Town/City.
Street/Road/Lane
Area/Locality/Sector
Post Office.
District. State. Pin Code.
Email. Mobile No.
5. Educational Qualification.
Technical Qualification
Please Attach Technical Certificate: (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
6. Social Group:
SC ST OBC MIN GEN Other
Please specify Other Social Group
Social Group Attachment (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
Economic Group:
APL BPL Antyodya
Card No.(APL/BPL/Antoydya)
Please Attach Card: (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
7. Bank Details(of the Unit):
Bank Name/Branch State:
Account No: IFSC Code
Account Holder Name:
Bank Detail Attachment: (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
8. Aadhaar No.
Aadhaar Aadhar Card. (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
9. PAN Card No.(Applicant)
Pan Card of the Applicant. (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
10. PAN Card No.(of Unit)
Pan Card of the Unit. (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
11. Identity Card number of Handicrafts/Handloom artisan,If any.
ID Card of Handicrafts/Handloom Artisan. (File Format gif,jpeg,png,jpg,pdf| Max Size:500KB)
12. Name of the Jute Product/s/Crafts Manufactured
Any Other
Any Other ,Please Specify  
ID Proof of Manufacturing. (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
13. Address of Manufacturing
14. Year Of Experiencing in Manufacturing Jute Products/Crafts
Date of Commencement of Production
15. Annual income from Jute Products/Crafts(in Rs.)
16. Annual Income from Other Sources: Agriculture/Other   Rs.
17. Family Details (Family Consists of artisans, His/Her spouse & dependent minor children only)
Member Name. Member Age Relation
18. Name Of Unit
(i) Registration Number:-
Name of Issuing Authority  
(ii) Year Of Registration:
(iii) Turn Over(Rs):- Below 1 lakh/1-5 Lakh/5-25 Lakh/above 25 lakh
(iv) Total Artisans Employed:-
(Hired)/Household Member(self Employed) 		Hired Household Total
19. Holding Credit Card.
ACC.    SCC.  Other.
20. Recipient of Any Award National Award State Award Shilp Guru SMC NMC Other
Please Specify:-
Proof for Status of Awardee. (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
21. GST Regitration No. (Mandatory for Turn Over more than or equal to Rs 2000000)
GST Registration Certificate (File Format gif,jpeg,png,jpg,pdf | Max Size : 500KB)
Declaration
I certified that information provided by me and information contained herein is my own and is true, correct and accurate.

Applicant's Sigunature/Thumb Print
(File Format: gif,jpeg,png,jpg|Image Max Size: 110px X 110px & 50 KB)