Street Vendor Registration

Enumerator Details

Surveyor Name*

Personal Information

Street vendor name (As per Aadhaar)*

Date of Birth*

Age

Age Bracket:

Gender*

Mobile No.*

Alternative Mobile Number

E-Mail ID

Marital Status*

Aadhaar UID Number*

Identity Proof (PAN Card/Aadhaar Card/Voter ID)* Accepted formats: JPEG, PNG, JPG Max size: 2MB Front

Identity Proof (PAN Card/Aadhaar Card/Voter ID)* Accepted formats: JPEG, PNG, JPG Max size: 2MB Back

Family Head Name*

Family Head Relation*

Family Head Occupation*

Family Annual Income*

Type of Ration Card*

Ration card proof* Accepted formats: JPEG, PNG, JPG Max size: 2MB

Emergency Contact Mobile No*

Relationship*

Additional Information

Religion

Caste

City*

Municipal Corporation/Council

Municipal Zone

Municipal Ward

Mobile Number Linked With*

PAN Number

Father's Primary Occupation*

Mother's Primary Occupation*

Household Information

S.No.	Relationship	Member Name	Occupation	Monthly Income (₹)	Action
1

Number of Currently Earning Members in Household*

Sources of Household Income*

Are there any PwD (Persons with Disability) in your household?

Male Members between 18–25

Number of Unemployed Male Family Members (18–25 years)

Number of Unemployed Female Family Members (18–40 years)

Are they interested in employment/livelihood opportunities?

Do you want skill training for them?

If primary income stopped for 1 month, how many days could household manage?*

Does any household member have emergency savings?*

Address Information

Present Address

House & Floor No.*

Street/Block/Sector*

Pin Code*

Village/Town/City*

State

District*

Permanent Address

Same as Present Address

House & Floor No.

Street/Block/Sector

Pin Code

Village/Town/City*

State

District

Vending Location

Vending Area / Market Name*

Vending Location Landmark

Vending Profile

Type of Vendor*

Nature of Vending*

Time of Vending*

Duration of Vending Business*

Category of Items Sold*

Specific Items Sold

Business & Income Details

Daily Investment in Raw Material*

Average Daily Sales*

Daily Savings After Expenses (₹)*

Average Monthly Income from Street Vending (₹)*

Average Monthly Income from All Other Sources (₹)

Total Average Monthly Household Income (₹)*

Licensing & Government Schemes

Do you have proof of vending?*

Are you aware of PM SVANidhi?*

Have you received a PM SVANidhi loan?*

Have you currently applied for PM SVANidhi?*

Educational Qualifications

Please provide your educational qualifications.

Please add highest qualification first

S.No.	Standard*	Board/University	Passing Year	Marks Obtained	Percentage (%)	Action
1

Skills Training Preferences

Skills Training Program of Interest*

Preferred Training Time*

Financial Inclusion

Please provide details about financial inclusion below.

Do you have a savings account in a bank or post office?*

Do you accept digital payments?*

Do you use online food delivery apps?*

Do you have FSSAI registration?*

Do you have MSME/Udyam Registration?*

Is your business bank account linked to UPI?*

Is this account used for business transactions?*

Do you currently access credit from any source?*

Have you ever been rejected for a formal loan?*

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