Application for Issuance of Dependent Certificate

Service Details are:

 
Service is defined by the - LINE DEPARTMENT - Department of Revenue (STATE)

The Beneficiary of this service will be Citizen ( G2C )

Types of Service:
Regulatory
(Regulatory Services are those which can be denied by the government)
Do applicant(s) need to register to avail this service?
Yes
The URL at which more information about service are available :
No of Days within which service will be delivered after application submission?
30           Day

Note: The time period given is excluding the Government holiday list

Who can apply for this Service?

 
The Application can be submitted by the following:
Individual

How to submit application and Enclosure Details?

  The Application can be submitted by the following:
By Hand
Kiosk
Online
Application can be submitted at the following address:
External System Integrator of Industries Department
Pin- 180001
,

Following Documents are required along with the application form

Enclosure Type
Type Of Enclosure Original / Photocopy Attestation Required Documents Recommended
Death Certificate Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate   
Legal Heir Certificate Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate   
Ration Card Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card   
Death in Harness Certificate Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate   
Undertaking of Applicant Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant   
Undertaking of other Dependents Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents   
Certificate indicating Relationship with Deceased Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate   
Identity Proof / Residential Proof of Applicant Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook   
Other Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Other    Other    Other    Other    Other    Other    Other    Other    Other    Other    Other    Other   
Death Certificate Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate   
Legal Heir Certificate Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate   
Ration Card Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card   
Death in Harness Certificate Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate   
Undertaking of Applicant Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant    Undertaking of Applicant   
Undertaking of other Dependents Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents    Undertaking of other Dependents   
Certificate indicating Relationship with Deceased Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate    Relationship Certificate   
Identity Proof / Residential Proof of Applicant Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook    Telephone Bill    Aadhar Card ( Both Sides)    Passport (With Address Side)    Land / Home Documents    Government ID Card    Voter Card (Both Sides)    Water / Electricity Bill    Domicile Certificate    Ration Card (Inner & Outer Both)    Driving Licence    PAN Card    Bank Passbook   
Other Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Other    Other    Other    Other    Other    Other    Other    Other    Other    Other    Other    Other   
Death Certificate Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate    Death Certificate   
Legal Heir Certificate Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate    Legal Heir Certificate   
Ration Card Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card    Ration Card   
Death in Harness Certificate Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Not Required Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate    Death in Harness Certificate   
Undertaking of Applicant Original Original Original Original Original Original Original Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Not Required