Fwd: Re: APPLICATION FORM – SURVIVING MEMBER CERTIFICATE

[REJIMON C K]

Send by Wireless Device

---------- Forwarded message ----------
From: "narendra ahuja" <narendr...@gmail.com>
Date: 29-Mar-2016 5:42 pm
Subject: Re: APPLICATION FORM – SURVIVING MEMBER CERTIFICATE
To: "undisclosedreceipents" <undisclose...@undisclosedreceipients.com>, "narendra ahuja" <narendr...@gmail.com>
Cc:

            CONSEQUENCES OF NOT WRITING & REGISTERED WILL

            (husband going to Heaven leaving wife to HELL -running

             after banks, insurance companies, municipal corporations

             for mutation of immovable property, mutual funds, Transport

             Department for transfer of vehicle - all these problems for

             wife can be eliminated/minimised  if husband writes and

             register his will during his life time in favor of his wife.

             

                 IS EXPECTATION OF WIFE TOO HIGH ????????

                                       DECIDE AND ACT NOW .

           

IF ONE HAS DECIDED (?)  NOT TO WRITE  WILL, KINDLY READ FOLLOWING SURVIVING MEMBER CERTIFICATE WHICH WILL HAVE TO BE OBTAINED BY YOUR LEGAL HEIRS TO ACCESS YOUR PROPERTIES IN FAVOR OF LEGAL HEIRS.   THIS IS APART FROM OTHER PROBLEMS

WHICH A WIDOW FACES SINGULARLY IN THIS CRUEL WORLD.                     -

DECIDE  NOW  WHEN ALIVE,  WHETHER ONE  WISHES TO WRITE AND REGISTER WILL.

                                        OR

IF NO REGISTERED WILL,  LEGAL HEIRS (WIFE)  TO RUN AROUND TO GET SURVIVING MEMBER CERTIFICATE  FROM CONCERNED SDM OF AREA,  - ONE NEEDS SURVIVING MEMBER CERTIFICATE  TO GET  PART OF PROPERTY -  MOVABLE AND IMMOVABLE IN EVERY SURVIVING  MEMBER (LEGAL HEIR ) NAME

   PLEASE RISE UP FROM LETHARGY  NOW  AND WRITE AND REGISTER
   WILL OTHERWISE WIFE (WIDOW ) WILL HAVE TO RUN TO

    GOVERNMENT OFFICE TO GET SUCCESSION CERTIFICATE AND

    MAY CURSE ALSO

          

                              28th March, 2016

Subject: APPLICATION FORM – SURVIVING MEMBER CERTIFICATE

REVENUE DEPARTMENT, GOVT. OF NCT OF DELHI APPLICATION FORM – SURVIVING MEMBER CERTIFICATE

APPLICANT DETAILS

1. e-DistrictRegistration Number :
(For already Registered User- Not to be filled in by first time Applicants or those having Aadhaar number)

OR

2. UID (AADHAAR) No :

3. Name of Applicant

4. Name of Father

5. Name of Mother

6. Name of Spouse

7. Gender : Male Female Other

8. Date of Birth :

: ___________________________________________ : ___________________________________________ : ___________________________________________ : ___________________________________________

Applicant color Passport Size Photograph Size–5x4.5(Cm.)

Or
2 x 1.75 (Inch)

DD

MM

YYYY

9. Mobile No:

Email address: _____________@__________

10. Present Address : House Name/No :

______________________
______________________
______________________
______________________

Sub-Locality Village/Town District Country

: ______________________ : ______________________ : ______________________

: _______________________

Locality
Sub- division State
PIN Code :

: : :

11. Whether the Present and Permanent Address is same :

No

12. if No, Permanent Address :

Yes

House Name/No :

______________________
______________________
______________________
______________________

Sub-Locality Village/Town District Country

: ______________________ : ______________________ : ______________________

: _______________________

Locality
Sub- division State
PIN Code :

: : :

13. Purpose of Certificate : ___________________________________

14. Relationship of the Applicant with Deceased : __________________________________

Details Of Deceased

15. Name of Deceased : ___________________________________________ 16. Father’s / Husband’s Name : ___________________________________________

Deceased Person colour Passport Size Photograph Size–5x4.5(Cm.)

Or
2 x 1.75 (Inch)

17. Mother’s Name 18. Gender

: ___________________________________________ : Male Female Other

19. Death Certificate No. :___________________ (Attach death certificate along with Application) Certificate Issue Date : Date of Death :

DD

MM

YYYY

DD

MM

YYYY

APPLICATION FORM – SURVIVING MEMBER CERTIFICATE

20. Details of Surviving Family Members S.No

Name

Age (In Years)

Relation with Deceased

Photo

Identity Proof (Please tick one, provide the document No. and attach the same)

Aadhaar Card Passport Driving License PAN Card Ration Card with Photograph Voter ID Card

Any Govt. recognized Document
Document Number :

Colour Passport Size Photograph Size–5x4.5(Cm.) Or
2 x 1.75 (Inch

Identity Proof (Please tick one, provide the document No. and attach the same)

Aadhaar Card Passport Driving License PAN Card Ration Card with Photograph Voter ID Card

Any Govt. recognized Document
Document Number :

Colour Passport Size Photograph Size–5x4.5(Cm.) Or
2 x 1.75 (Inch

Identity Proof (Please tick one, provide the document No. and attach the same)

Aadhaar Card Passport Driving License PAN Card Ration Card with Photograph Voter ID Card

Any Govt. recognized Document
Document Number :

Colour Passport Size Photograph Size–5x4.5(Cm.) Or
2 x 1.75 (Inch

Colour Passport Size Photograph Size–5x4.5(Cm.) Or
2 x 1.75 (Inch

DD

MM

20YY

Applicant Signature :

1.

2.

3.

4.

Identity Proof (Please tick one, provide the document No. and attach the same)

Aadhaar Card Passport
PAN Card Ration Card with Photograph

Any Govt. recognized Document
Document Number :

Driving License Voter ID Card

If Surviving members are more than 4, Please attach list of surviving members with this application form in above specified format. 21. Identity Proof of Applicant (Please tick one, provide the document No. and attach the same )

Aadhaar Card
Voter ID Card
Any Govt. recognized document

PAN Card Passport

Ration Card with Photograph Driving License

Document No :
22. Present Address Proof of Applicant (Please tick one, provide the document No. and attach the same )

.

.

AADHAR Card Voter ID Card Passport Ration Card

Water Bill Utility Name _____________________ Telephone Bill Company name_______________

Rent Agreement (Registered) Bank Passbook
23. Permanent Address Proof of Applicant (Please tick one, provide the document No. and attach the same )

Driving License
Electricity Bill DISCOM Name___________

Gas Bill Comp Name _____________ Any Govt. recognized document

Driving License
Electricity Bill DISCOM Name___________

Gas Bill Comp Name _____________ Any other Govt. recognized document

Document No :

Document No :

.

.

AADHAR Card Voter ID Card Passport Ration Card

Water Bill Utility Name _____________________ Telephone Bill Company name_______________

Rent Agreement (Registered) Bank Passbook

Date:
Place: ______________________

APPLICATION FORM – SURVIVING MEMBER CERTIFICATE

24. Self-Declaration

I ________________________________________S/o/D/o Sh._______________________________ aged _______________R/o____________________________________________________________ Verify as Under:

1. That the above contents are correct to the best of my knowledge and belief and nothing has been concealed therein.

   I further affirm that-

2. I am aware that in case the information furnished above is found to be incorrect, I shall be liable for prosecution

   under section 177 & 191 of the Indian Penal Code, which stipulates as under:-
   177. Furnishing False Information- whoever, being legally bound to furnish information on any subject to any public servant, as such, furnishes, as true, information on the subject which he knows or has a reason to believe to be false, shall be punished with simple imprisonment for a term which may extend to six months, or fine which may extend to one thousand rupees, or with both;

   Or, if the information which he is legally bound to give respects the commission of an offence, or is required for the purpose of preventing the commission of an offence, or in order to the apprehension of an offender, with imprisonment of either description for a term which may extend to two years, or with fine, or with both.

   191. Giving false evidence- Whoever being legally bound by an oath or by an express provision of law to state the truth, or being bound by law to make a declaration upon any subject, makes any statement which is false, and which he either knows or believes to be false or does not believe to be true, is said to give false evidence.

3. Providing any false evidence shall be punishable under section 193 of IPC, 1860 which provides imprisonment for a term up to three years and fine.

Date:

DD

MM

20YY

Signature of Beneficiary :

(Parents Signature in case of Minor)

Place: ______________________

APPLICATION FORM – SURVIVING MEMBER CERTIFICATE

[Diwan Singh]

Good awareness, Rejimon Bhai.

Diwan Singh

Member, Dwarka Water Bodies Committee

Yamuna Satyagraha

Ridge Bachao Andolan

Campaign for Preservation of Commons

naturalheritagefirst.in

--
You received this message because you are subscribed to the Google Groups "SUKH DUKH KE SAATHI" group.
To unsubscribe from this group and stop receiving emails from it, send an email to SDKS+uns...@googlegroups.com.
To post to this group, send email to SD...@googlegroups.com.
Visit this group at https://groups.google.com/group/SDKS.
To view this discussion on the web, visit https://groups.google.com/d/msgid/SDKS/CAPySqW0jWsr0L5%2BaG36ersBt2%3DTz-Mr%3DXZtwiA3_kZXbMp42Fw%40mail.gmail.com.
For more options, visit https://groups.google.com/d/optout.

[Ajit Kumar]

I appreciate your concern and this very useful advice. Thank you.

To view this discussion on the web, visit https://groups.google.com/d/msgid/SDKS/CADwn8s8Fdxs4LG8WBHkg_oz6uZ%2BKW09r0_NMU0QnOYRypO1usg%40mail.gmail.com.