Financial assistance to Men of Letters and arts who are in indigent circumstances

Full Name

Permanent Residential Address

Date of Birth

Citizenship

Present Occupation

Employment and Income details of Spouse

Number of persons wholly dependent on the applicant

Immovable Property if any owned in name of self or the Dependant member

Particulars of contributions made to the field of culture

Particulars of awards, recognition or destination received from Govt.

Whether the applicant is in receipt of any other rent

Any other relevant information (Including details of Bank Account)

Name of the three references from the relevant field