PM Toilet Yojana

Letter No./Date

Full Name*

Father Name*

Email*

Mobile *

Gender

Male Female

District*

Zone *

Grampanchayat *

Village/Locality

Pin Code *

Address*

Aadhar Card (Husband) *

Only pdf and images of max size 5 MB files allowed.

Aadhar Card (Wife)

Only pdf and images of max size 5 MB files allowed.

Voter Card

Only pdf and images of max size 5 MB files allowed.

Ration Card*

Only pdf and images of max size 5 MB files allowed.

Ghara Pata *

Only pdf and images of max size 5 MB files allowed.

Bank Passbook *

Only pdf and images of max size 5 MB files allowed.