The Government of West Bengal has officially introduced the Annapurna Bhandar Scheme (officially administrative-linked as the Annapurna Yojana) to provide direct financial security to eligible women across the state. Beneficiaries under this scheme receive a flat financial assistance of ₹3,000 per month credited directly through Direct Benefit Transfer (DBT). To facilitate offline applications, the state has released the comprehensive Family-Level Data Collection Form (পারিবারিক তথ্য সংগ্রহের ফর্ম).

For applicants who prefer to submit their applications manually through the Duare Sarkar camps or their local block offices, downloading and filling out the physical PDF application form beforehand is the most effective approach. Below is the detailed structure of the application form, download guidelines, and fill-up instructions.

Form Size: ~484 KB
Language: Bengali & English
Official File Format: PDF
Source: socialsecurity.wb.gov.in

1. Annapurna Bhandar Form Structure & Sections

The official application form (Annapurna Yojana Family-Level Data Collection Form) is structured to gather consolidated demographic and financial data of the household. Here is the breakdown of the essential details required in each section:

Form Section Required Information Associated Direct Purpose
Section A: Family Identity Head of Family (HOF) Name, DOB, Aadhaar, Digital Ration Card details Mapping unique family ID and primary resident credentials
Section B: Member Details Names, DOBs, Gender, Aadhaar, and Relation to HOF of all family members Registering individual family data in the Social Registry database
Section C: Bank Details Bank Name, Account Number, and IFSC code of HOF and adult members Setting up bank-linked accounts for DBT transfer of monthly funds
Section D: EPIC / Voter EPIC/Voter Card numbers, Assembly Constituency and Part Numbers Verifying residency status and electoral roll inclusion in West Bengal

2. How to Download the Official Form PDF

To avoid fraudulent or duplicate forms circulated by third parties, applicants are strongly advised to obtain the official form only from verified government portals:

Swasthya Sathi & Ration Card Sync: The application form automatically asks for your family level details. Hence, it is crucial that the details typed or handwritten on the form match perfectly with your Digital Ration Card database records.

3. Crucial Rules for Filling Out the Physical Form

To ensure your application is processed smoothly without technical rejection during administrative screening, adhere strictly to the following parameters [1]:

  1. Block Letters: Fill out the form carefully using capital letters (block letters) to avoid legibility errors during data entry.
  2. Aadhaar Verification: Ensure that the spelling of names, DOB, and Aadhaar numbers matches exactly with your physical Aadhaar card records.
  3. Seeded Bank Accounts: Provide bank account details only for accounts that are actively seeded with your Aadhaar and NPCI mapper for Direct Benefit Transfer (DBT) credits.
  4. Clear Handwriting: Use only a black or blue ballpoint pen. Do not overwrite or scribble on the fields [1].

4. Required Enclosures (Checklist of Documents)

When submitting your filled physical form, you must attach the following self-attested photocopies as supporting enclosures:

Required Enclosure Purpose of Attachment Self-Attestation Rule
Aadhaar Cards Biographical & age verification (HOF & family members) Yes, must be signed by the respective cardholder [1]
Voter Cards (EPIC) Verifying residential status and constituency details Yes, required for HOF & adult members
Bank Passbook Copy Confirming IFSC, name, and account number for DBT transfers Yes, required for the primary single-holder account [1]
Income Certificate Verifying consolidated monthly income is under ₹10,000 [1] Must submit the original issued copy from authority

Avoid Fraudulent Platforms: The official form is distributed completely free of charge [1]. Do not pay any local agent or unauthorized platform to purchase the application PDF or submit the form on your behalf [1].

5. Submission and Acknowledgement Receipt

Once you have completely filled out the form and attached all the required self-attested photocopies, visit your nearest Block Development Office (BDO), municipal office, or scheduled local Duare Sarkar camps to submit the physical set directly [1]. Upon submission, make sure to collect the officially stamped and signed **Acknowledgement Slip** from the receiving desk, as this slip contains your reference ID used for tracking payment status and resolves any future administrative grievances [1].