Government of Rajasthan

Department of Information Technology & Communication

No.-F11(250)/DoiT /Project/14 ) ~

'-1 o

Date: 14th May, 2014.

CIRCULAR
In near future the government intends to relaunch the information technology
enabled Bhamshah Scheme, under which the individual and family based benefits
as well as cash transfers under various public welfare schemes to the
beneficiaries, will be delivered at their doorsteps with complete transparency
and high level efficiency.
An integrated database is essential to integrate the computerized systems of
different departments with the centralized IT system of Bhamashah Scheme, for
the successful implementation of the Scheme. Under Bhamashah Scheme, the
demographic data of ordinary residents above 5 years of age will be collected
through carrying out an extensive survey in all the districts. The Format for
collection of this demographic database is attached herewith.
Simultaneously, for such residents whose Aadhaar enrolment has not yet been
done, the opportunity for the Aadhaar enrolment will also be provided in these
survey camps. The annexed format also includes the data being captured under
Aadhaar.
Using the above two dataset, various schemes of the government would be
implemented through the Bhamashah. In this regard, all the government
departments are expected to :
1. Examine the informations proposed to be collected under the above two
dataset vis-a-vis the information required by your department for
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Government of Rajasthan
Department of Information Technology & Communication
2. Inform the Secretary, IT&C before 20th May, 2014 if any additional data is

required to be collected, and if so what is the data required. It is

mandatory to mention the source, and the process of validation, of the
additional data that is being sought.

Additional Chief Secretaries/Principal Secretaries/Secretaries concerned

may go through the information personally. at their own level. If, at a later
point in time it is discovered that any scheme is not being able to link with
the Bhamashah Platform, due to gaps in the data sets, then responsibility
would be fixed.

This issues with the approval of Chief Secretary.

Secretary, I.T. & C.

Copy to1.

PS to Chief Secretary, Government of Rajasthan.

2.

Principal Secretary, Finance Department, Government of Rajasthan.

3.

All the Addl. Chief Secretaries/Principal Secretaries/Secretaries to

the Government of Rajasthan.

4.

All Heads of Departments.

)t. Secretary, I.T. & C.

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Annexure
Enrolment Form for Common Citizen Database
I

Aadhaar No.

FuJI Name

Head of the Family

Oves

Fathers Name

Gender

OM ale

Marital Status

0Never Married

Date

Last Name

M\Cldle Name

F1rst Name
I

0No
Mothers Name I

Religion

OFemale Orransgender
0Married Owidowler 0Divorced

Category

Osc

Dlabllity Category

Ovisually Impaired

Ration Card Type

DAPL DBPL Ostate BPL

Oseparated

Dose OrsP Ossc 0General

Osr

0Hearing Impaired

0Locomotive

Ostate Govt. Emp. Ocentral Govt. Emp.

Income Status
(per month)
Educational Qualif.

0Not Applicable
On literate

Outerate

Residential Status

0Domicile

Olmmigrant

0Less than 249

OsPass

Os Pass

CJ

Land

0 Ex-servicemen

0250-499

Olrrigated

OPSUibank Emp.

0500-1499
010 Pass

Residential Address
House No. I Bldg. I Apt.
Street I Road I Lane
Landmark
Colony Name
Name of Village I City
Post Office
District
State

Tehsil
Email

Phone No. with STD Code

Mobile No. I

Bank Det alls

Bank Name
1 I

012 Pass

QPvt. Co .

Oself Employed Qothers

02500-4999

0Graduate

ODocument Based

Osooo & Above

0Post Graduate
. 0Head of Family Based

PlncodeJ

Branch Name

Oves 0No

Ounirrigated

01500-2499

Verification Type

0NRI

I II III I I I

Date of Birth
Age
Physical Handicapped

Oothers 0No Card

Landholding category Osmall Farmer OMarginal farmer Owithout land

Employability

Oathers

OAnthodaya

0Annpoorna

Account No.

I I

Head of Family Details ( to be f illed In case of Family Member)

Name of HoF

Relationship of Applicant

0Father

0Mother

0Husband

EIO I UID No.

Q wife

Q Gua rd ian

Family Det ails ( to be filled in case a[Head of Family )

S.No.
Aadha ar Number of Family Mem ber
1

Name of Family Member

Relatlonship with HoF

3
4

__j

DOCUMENl l EQ R ID~TITY VERI F I CA'I'I Q~

Ration Card No.
MGNREGANo.

I
I

Driving License No.

NPR Receipt No.

Passport No.

Pension Card No.

PHED Connect No.

Electric Connect No.

APL Card No.

Voter Card No.

BPL Card No.

PAN No.

GAS Connection No.

Birth Certificate No.

I
Applical'lt Signature