PMMVY Third Installment Application Form
This document is an application form for claiming the third installment under the Pradhan Mantri Matru Vandana Yojana (PMMVY) scheme. It requires the beneficiary's details, delivery information, and vaccination records. Only authorized persons should submit the filled form.
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How do I fill this out?
To fill out this form, you'll need to provide details such as the beneficiary's name, Aadhaar number, delivery information, and vaccination records. Make sure to tick the appropriate boxes and enclose the necessary documents. Submit the completed form to the authorized person.
How to fill out the PMMVY Third Installment Application Form?
1
Enter beneficiary's name and Aadhaar number.
2
Provide delivery information and vaccination records.
3
Tick the appropriate boxes for gender and other details.
4
Enclose the necessary documents such as birth certificate and MCP card.
5
Submit the completed form to the authorized person.
Who needs the PMMVY Third Installment Application Form?
1
Pregnant women who are registered under the PMMVY scheme need this form to claim their third installment.
2
Healthcare workers facilitating the PMMVY scheme can use this form to assist beneficiaries with claiming their installment.
3
Authorized agents or persons responsible for submitting forms on behalf of beneficiaries require this document.
4
Government offices processing PMMVY claims will need this form submitted by beneficiaries.
5
Beneficiaries who have already received the first two installments under PMMVY should use this form for the third installment.
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What are the instructions for submitting this form?
Submit the completed form to authorized persons only. Ensure all required fields are filled, and necessary documents are attached. Follow the submission guidelines provided by the authorities. Contact your local Anganwadi Centre or authorized person for details on where to submit the form.
What are the important dates for this form in 2024 and 2025?
Important dates for 2024: Submission deadline - 31 March 2024. Important dates for 2025: Submission deadline - 31 March 2025.
What is the purpose of this form?
The purpose of this form is to facilitate the claiming of the third installment under the Pradhan Mantri Matru Vandana Yojana (PMMVY) scheme. This scheme is aimed at providing financial assistance to pregnant women and lactating mothers to meet their nutritional needs and compensate for wage loss. By filling out and submitting this form, beneficiaries can secure the benefits they are entitled to under the PMMVY scheme.
Tell me about this form and its components and fields line-by-line.
- 1. Name of beneficiary: Enter the full name of the beneficiary.
- 2. Aadhaar/Identity number of beneficiary: Provide the Aadhaar number or other identity proof of the beneficiary by ticking the appropriate box.
- 3. Date of delivery: Enter the date of delivery of the child.
- 4. Delivery in Government approved facility: Tick Yes or No to indicate if the delivery took place in a government-approved facility.
- 5. Gender of Child/Children: Tick the appropriate box for the gender of the child/children. Additional details needed for multiple births.
- 6. JSY Details: Provide details about incentives received under the Janani Suraksha Yojana (JSY).
- 7. First cycle of Vaccinations given: Tick Yes or No for each vaccination given: BCG, OPV, DPT, and Hepatitis-B.
- 8. Date of completion of first cycle of vaccinations: Enter the date of completion of the child's first cycle of vaccinations.
- 9. Previous still births: Tick Yes or No to indicate any previous stillbirths reported by the beneficiary.
- 10. Copies of documents enclosed: Enclose copies of the child's birth certificate and MCP card.
- 11. Health ID of beneficiary: Enter the health ID of the beneficiary if available.
- 12. Details to be filled by Anganwadi Worker / ASHA / ANM: Specific information to be provided by the respective healthcare worker or supervisor.
What happens if I fail to submit this form?
Failure to submit this form may result in the beneficiary not receiving the third installment under the PMMVY scheme.
- Missed Financial Assistance: The beneficiary might miss out on the financial assistance provided for nutritional needs and wage loss compensation.
- Scheme Benefits: Inability to secure the entitled benefits under the PMMVY scheme, impacting the beneficiary's well-being.
How do I know when to use this form?
- 1. Eligible Beneficiaries: Beneficiaries who have met the criteria for the first two installments under PMMVY should use this form.
- 2. Authorized Submissions: The form should be submitted by authorized persons only to ensure proper processing.
Frequently Asked Questions
What is this form for?
This form is for claiming the third installment under the Pradhan Mantri Matru Vandana Yojana (PMMVY) scheme.
How do I fill out this form?
Provide the beneficiary's details, delivery information, vaccination records, and enclose necessary documents before submitting to an authorized person.
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You can add your digital signature using various input methods such as drawing, typing, or uploading an image of your signature.
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You can share the PDF via email or generate a shareable link. You can also share it across social media platforms.
What documents do I need to enclose with this form?
You need to enclose copies of the child's birth certificate, MCP card with immunization details, and the Acknowledgement Slip if previously registered.
Who needs this form?
Beneficiaries of the PMMVY scheme, healthcare workers, authorized agents, government offices, and PMMVY claim processors need this form.
What should I do if there are multiple births?
Fill in the additional details provided in the form for cases of multiple births such as twins, triplets, or quadruplets.
What if I have questions about filling out the form?
Consult the instructions provided on the form or reach out to authorized personnel for assistance.
Can I submit this form online?
Check with the respective authorities for online submission options. The form should be submitted to authorized persons only.
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