New Hope Widow’s House – Application Form

Name of the Applicant :

Date of Birth

Age

Husband’s Name :

Address

Mobile No:

Family details (Give the details of Sons / daughters if any)

Name of the Church you attend :

Is your Church a member of New hope :

Yes No

If yes, Pastor’s name and address :

Pastor’s Membership No. in New Hope:

Do you have own Land : Yes No

If yes, how many cents :

Is that land got any legal dispute in court?

Yes No

Is there any of your children working in Govt. / Private ?

Yes No

Your annual income approximately is Rs :

Do you get any pension from Government :

Yes No

Attachments:

Widow Certificate (From Church & Govt.)

Photo

Proof of land (photo copy of land document)

A recommendation letter from the member of New hope project

Address Proof (Attach a copy). Aadhaar / Ration card / Voter ID / any other

Place

Your’s Faithfully

Date

Verified by :

Rejected or Granted by board meeting on :

If granted, Granted Amount Rs :

(in words)

Director

Secretary

Treasurer

Remarks if any :