JIYO PARSI PROGRAMME - CRECHE/ CHILDCARE ASSISTANCE FORM
NOTE
1. Assistance to Parsi married couples to increase the size of their family by providing financial support up to Rs. 4000/ month/ child or actual whichever is less for Creche/ Childcare giver payment for each child between 0 to 8 years. (Separate Form to be filled for each child)
2. This is a pilot scheme and selection for support will be based on the number of applicants, their income criteria, and their possible contribution towards the program objectives and a personal interview.
3. After their selection, the couple will be required to get their details verified by the Anjuman/ Punchayat representative.
4. The verification form and the list of documents to be submitted will be supplied by Jiyo Parsi to the selected applicant.
Email address *
1. Name of the Applicant *
Your answer
2. Telephone (Mobile) *
Your answer
3. Telephone (Residence)
Your answer
4. Email ID *
Your answer
5. Applicant’s Date of Birth *
MM
/
DD
/
YYYY
6. Age *
Your answer
7. Occupation of the applicant *
Your answer
8. Aadhar No. of applicant *
Your answer
9. Name of Spouse *
Your answer
10. Spouse Telephone (Mobile) *
Your answer
11. Spouse Email ID *
Your answer
12. Date of Birth of Spouse *
MM
/
DD
/
YYYY
13. Age *
Your answer
14. Occupation of the spouse *
Your answer
15. Aadhar No. of spouse *
Your answer
16. Address *
Your answer
17. Number of Children and their age *
Your answer
18. Annual Family Income from all Sources *
Your answer
19. How did you hear about the Jiyo Parsi Programme (tick those applicable)
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