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edistrict.assamgov.in : Get Senior Citizen Certificate Assam

Name of the Organization : Assam e-District Service Portal (edistrict.assamgov.in)
Type of Facility : How to Get Senior Citizen Certificate in Assam?
Location : Guwahati

Website : http://edistrict.assamgov.in/

Senior Citizen Certificate :
Supporting Documents Required :
1 . Age Proof Certificate attested by Competent Authority (Govt. Medical/Health Officer) OR any document of proof of age
2 . Passport size Photograph
3 . Other Documents (if any)
4 . Proof of retired Govt. servant
5 . For the citizen other than Retired Govt. Servent – Copy of voter list of 1966
6 . For the citizen other than Retired Govt. Servent – Copy of land document

Note :
In case, each supporting document has multiple pages, please convert the same to a single document, with a file size of less than 2MB(2048 kb) and upload.

Service Charges :
1 Service Charges – 14.00
2 Printing Charges – 5.00
3 Scaning Charges – 5.00
4 Other Charges – 0.00
5 DeGS Charges – 6.00
6 SCA Charges – 0.00

Total Amount :30

Service Time Frames :
** Case to be handled within 1 day after the receipt of application. Dealing Assistant should take action before the end of 2nd working day from date of application.
** Approving Authority to review the Application and take appropriate action (Approve / Reject / Verify) within 2 days from the date of the application.
** The Service is to be catered to within 3 working days from the date of receipt of the application.

Application Format :

Application Form For Senior Citizens Certificate :
(Fields marked * are mandatory)

Name of Applicant* :- ___________________
Name of Spouse :- ___________________
Gender :- ___________________
Date Of Birth :- ___________________
Name of Father :- ___________________

Address of the Applicant :
District * :- ___________________
Sub Division* :- ___________________
Revenue Circle* :- ___________________
Village / Town * :- ___________________
GP / Ward * :- ___________________
Mouza :- ___________________
Police Station :- ___________________
Post Office :- ___________________
Pin No.
Phone No. (STD Code without 0 prefix + Phone No.)
Mob. No. (10 Digit Mobile No.)
e-mail ID,if any :- __________________

Is the Permanent Address of the applicant same as Present Address? Yes/ No

If No please fill in the Permanent address given below
District * :- ___________________
Sub Division* :- ___________________
Revenue Circle* :- ___________________
Village / Town * :- ___________________
GP / Ward * :- ___________________
Mouza :- ___________________
Police Station :- ___________________
Post Office :- ___________________
Pin No.

Occupation of the Applicant* :- ___________________
Identification Mark :- ___________________
Blood Group of the Applicant :- ___________________
Service Type : Service Person/ Non-Service Person

Declaration :
All the information furnished above are correct to the best of my knowledge and belief.

Date :-                                                      Signature of Applicant

Download Application Form Here :
https://www.indianjobtalks.in/uploads/12558-4.pdf

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