Nong Suea Chang Subdistrict Municipality

Title *

Mr. Mrs. Ms.

Name - Last Name *

Home plate address. *

Phone number. *

Date/Month/Year of birth *

Age (year) *

Occupation *

Monthly income (baht) *

Request details *

Request confirmation of right to receive living allowance

Do not claim the right to receive living allowances.

Intent to receive living allowance *

Receive cash in person

Receive cash by a person authorized by the eligible person.

Transferred into a bank account in the name of the eligible person.

Transferred into the bank account of the authorized person. from those with rights

Please certify that all qualifications are complete. *

I hereby certify that I am fully qualified as of the date I am entitled to receive the living allowance. and certify that The above statement is absolutely true.

Consent to have personal information entered into the computer system *

I consent to having my personal information entered into the computer system. of the Department of Local Administration and agree to check the information with the government central registration database

Those who are entitled to receive a living allowance Must have the following qualifications:

(1) Holds Thai nationality

(2) have a domicile in the area of a local government organization according to house registration

(3) being sixty years of age or older which has been registered and submit an application for elderly living allowance to the local government organization

(4) not being a recipient of welfare or any other benefits From government agencies, state enterprises, or local administrative organizations, including recipients of pensions, annuities, special pensions, or any other money of the same nature. Elderly people who live in government or organization care homes local government People who receive a salary, compensation, regular income, or other government benefits. or local government organizations provide them regularly Except for disabled people and AIDS patients according to regulations. Ministry of Interior regarding payment of relief funds For the sustenance of local government organizations, 2015

Confirm Eligibility for Older Person, Disability or Disadvantaged Person Allowance

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