Aayushman Beneficiary

Sr. No	Relation	Gender	Name of Member	Date of Birth	Adhaar Card Number	Delete
{{$index+1}}	{{item.RelationType}}	{{item.MemberGender}}	{{item.MemberFirstName}} {{item.MemberMiddleName}} {{item.MemberLastName}}	{{item.MemberDOB\| date:"dd/MM/yyyy"}} {{item.MemberDOBYear}}	{{item.MemberAadhaar1}}-{{item.MemberAadhaar2}}-{{item.MemberAadhaar3}}

Sr. No	Relation	Name of Member Member	Adhaar Card Number	Upload Adhaar Card
{{$index+1}}	{{item.RelationType}}	{{item.MemberFirstName\|titleCase}} {{item.MemberMiddleName \|titleCase}} {{item.MemberLastName \|titleCase}}	{{item.MemberAadhaar1}}-{{item.MemberAadhaar2}}-{{item.MemberAadhaar3}}	You Can Upload jpeg, jpg, png Images File size must be less than 500 KB

Beneficiary's First Name

Beneficiary's Middle Name

Beneficiary's Last Name

Gender

Father's/Husband First Name

Father's/Husband Middle Name

Father's/Husband Last Name

Beneficiary's Date of Birth

Mother's First Name

Mother's Middle Name

Mother's Last Name

Beneficary's Aadhaar Card

Grandfather's First Name

Grandfather's Middle Name

Grandfather's Last Name

Beneficiary's Contact Number

Marital Status of Beneficiary

District

Tehsil

Block

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Region

Address/House No/Street No

Pin Code

No family member detail given by beneficiary

No. of Family Members

Sr. No	Relation	Gender	Name of Member	Date of Birth	Adhaar Card Number
{{$index+1}}	{{item.RelationType\|titleCase}}	{{item.MemberGender\|titleCase}}	{{item.MemberFirstName\|titleCase}} {{item.MemberMiddleName\|titleCase}} {{item.MemberLastName\|titleCase}}	{{item.MemberDOB \| date:"dd/MM/yyyy"}} {{item.MemberDOBYear}}	{{item.MemberAadhaar1}}-{{item.MemberAadhaar2}}-{{item.MemberAadhaar3}}

Sugarcane Mill Name

Market Committee

Mandi Yard

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Aartiya Firm Name(For J Form)

Form Type

Beneficiary Documents

Upload Manual Filled Form

Copy of Adhaar Card

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Sr. No	Relation	Name of Member	Adhaar Card Number	Upload Adhaar Card
{{$index+1}}	{{item.RelationType\|titleCase}}	{{item.MemberFirstName\|titleCase}} {{item.MemberMiddleName \|titleCase}} {{item.MemberLastName \|titleCase}}	{{item.MemberAadhaar1}}-{{item.MemberAadhaar2}}-{{item.MemberAadhaar3}}