BM-SSY - Bina Mulya Samajik Suraksha Yojana | Comprehensive Social Security Scheme for Unorganised Workers | Government of West Bengal

Category of Worker Type *

First Name *

Middle Name

Last Name *

Date of Birth (Age limit between 18 to 60)

Mobile Number *

Identity proof *

Caste *

Ration Card / Khadya Sathi No Type

Ration Card / Khadya Sathi No

Religion *

Gender *

Marital status *

Father's Name *

Mother's Name

Monthly Family Income *

State*

District *

Sub Division*

Block/Municipality/Corporation*

Name of Block/Municipality/Corporation*

GP / Ward *

Pin Code *

Post Office *

Police Station *

House No./Name of the Village/Street/Road *