<p> Application form for Indira Gandhi National Old age Pension Scheme</p><p>To The Mayor Past your Asansol Municipal Corporation passport Size Asansol photograph here</p><p>Sir, I am a resident of ward No______under this corporation area. I am an old person. My family is included in the BPL list. My detail information is given below.</p><p>I will be obliged to you if you approved my name for this pension. The attested copy of the related age proof other documents are attached here with.</p><p>Detail Information</p><p>1. Name of the Municipal Corporation: ……………………………………………………. 2. Ward No………………………………………………………………………………..…. 3. Name of the Beneficiary :………………………………………………………………….. 4. Name of the head of the family……………………………………….…………………… 5. Parents / Husband Name ………………………………………………………………….. 6. Date of Birth…………………………………………………………..……………..…… 7. Address:………………………………………………………….House No……………… Street/ Para / Slum ………………………………………………………………………… Pincode ………… ………… 8. Nominee Name ………………………………………………..………………………….. 9. Are you belongs to : ( Put atick which is applicable) Schedule Cast Schedule Tribe OBC Other General 10.Whether are you belongs to the Minority ? 11.BPL Sl. No……………………BPL ID No……...………Total Survey Score………….… 12.Ration Card/ EPIC Card No……………………… 13.Annual Income………………… 14.Gender: Male Female 15. Age as on 01-01-2010…………………………..</p><p>Councillor , Ward No…………. Signature / Thumb Impression of the Applicant</p><p> www.asansolmunicipalcorporation.org</p>