S No

Name of Data Field

Field Type

Value/ Options

Validation/ Logic/ Condition

 

**** Every Beneficiary Registration should be linked with any one of the House Hold (HHID)

 

 

 

 

**** Beneficiary Registration is two types, based on the Age, that is as below

  1. Adult Registration: Age 15 years and above
  2. New born/ Child/ Adolescent Registration: Age 0 to less than 15 Years
    *** Based on the selected Age, fields in the form changes respectively as mentioned here in the logic column

 

 

 

I

Adult Registration (Age 15 years and above)

 

 

 

1

  1. Head of family Registration OR
  2. Family Member Registration

 

 

Show this sub heading based on the type of member registration

2

Date of Registration

Calendar/ Date Picker

  • Is Mandatory
  • Choose the date from the calendar
  • Format: dd-mm-yyyy
  • Default value Today's Date
  • Not greater than Today's Date
  • should not allow date less than 1/1/2020
  • should not allow to update in edit or once submitted

 

Relationship with head of family

 

Self

Place of order of this field should change bases on the type of registration, as below
In case of HoF registration, auto select "Self" and show it here or just show title
In case of family member registration, show this field after "Gender" field

3

Photo

Camera

Is Optional

Should have face detection/ Facial recognition
Camera should identify & capture human face but not any objects
Show an Alert if Photo is not captured, just as reminder but Not Mandatory
Alert: "Do you like to Take Photo", Yes or No
If "Yes", open Camera; If "No", go to next

4

First Name

Textbox

Is Mandatory

  • In case of HoF registration, auto select from HH details
  • Input method: Speech to Text feature
  • Accept alphabets only
  • Character limit 50
  • All letter should be in caps

5

Last Name/ Surname

Textbox

Is Mandatory

  • In case of HoF registration, auto select from HH details
  • Input method: Speech to Text feature
  • Accept alphabets only
  • Character limit 50
  • All letter should be in caps

 

Select: Date of Birth OR Age

 

 

 

6

Date of Birth

Calendar
Date Picker

Is Mandatory

  • Auto Calculate 'Age' based on the DOB entered
  • Allow Age 15 years and above

7

Age (in Years)

Textbox

Is Mandatory

  • Auto Calculate 'Date of Birth' based on the Age entered
  • Allow Age 15 years and above
  • Character limit 2

8

Gender

Spinner

Is Mandatory
Choose:

  • Male
  • Female
  • Transgender

Based on the Gender selected, show below family relationships

9

Relationship with head of family

Spinner

Is Mandatory
Choose: (this is sample List, get this list form old app or currently what we have)
Example: for Male
Son, Husband, Father, Nephew, Son-in-law, Brother, Grandson, Grand Father, Father-in-law, others
Example: for Female

Wife, Daughter, Mother, Niece, Daughter-in-law, Sister, Grand Daughter, Grand Mother, Mother-in-law, others

In case of HoF registration, hide this field (NA)
In case of family member registration, show this field after "Gender" field
Show all family relationships based on the Gender criteria, as below

  • When Gender is Male or Transgender, show all male relationships
  • When Gender is Female, show all Female relationships

    Whomever you are registering his/her relation should selected here

10

Other Relationship with head of family

Textbox

 

In case of HoF registration, hide this field (NA)

  • Enable if other is selected above
  • Is Mandatory if other is selected above
  • Enable if other is selected above
  • Is Mandatory if other is selected above

11

Mobile Number of

Spinner

Is Mandatory
Choose:
Self, Husband, Father, Mother, Family head, others

In case of HoF registration, hide this field (NA)

  • If married and Male show Wife
  • If married and Female show Husband
  • If unmarried don't show above both

12

Enter Relation with Mobile Number

Textbox

 

In case of HoF registration, hide this field (NA)

  • Enable if other is selected above
  • Is Mandatory if other is selected above
  • Enable if other is selected above
  • Is Mandatory if other is selected above

13

Mobile Number

Textbox

Is Mandatory

In case of HoF registration, auto select from HH details
Show after 'Mobile Number of' is selected

  • If "Family head" is selected above, then auto populate Mobile Number of 'Head of the family'
  • Similarly, for other relationships Husband" or "Wife"

14

Marital Status

Spinner

Is Mandatory
Choose:

  • Unmarried
  • Married
  • Divorced
  • Separated
  • Widow
  • Widower
  • Not Applicable for New born/ Child/ Adolescent (Age 0 to less than 15 Years)
  • Show this field once above Gender is selected
  • If "Unmarried" is selected hide below three fields from S. No. 15, 16, 17
  • Based on the 'Gender' values in this dropdown list should change as follows:
  • In case of 'Gender' = "Female" show "Widow" and hide "Widower"
  • In case of 'Gender' = "Male" show "Widower" and hide "Widow"
    Above in field 'Relationship with head of family' is selected as "Husband" or "Wife" then auto select "Married"

15

Husband's/ Wife's Name

Textbox

Is Conditionally Mandatory

In case of "Married" and any one is already registered, then auto select Name from 'Husband' or 'Wife' details; base on the Relationship with Hof

  • Input method: Speech to Text feature
  • Hide this field in case of 'Marital Status' = "Unmarried"
  • Optional (Not Mandatory) in case of 'Marital Status' = "Divorced"
  • Based on the Gender show label name as: 'Husband's' or 'Wife's Name'
  • Accept alphabets only
  • Character limit 50
  • All letter should be in caps

16

Date of Marriage

Calendar
Date Picker

Is Conditionally Mandatory

In case of "Married" and any one is already registered, and date if available then auto select from 'Husband' or 'Wife' details; base on the Relationship with Hof

  • Hide this field in case of 'Marital Status' = "Unmarried"
  • Show only when below 'Age at Marriage' is equal to above 'Actual Age'

17

Age at Marriage

Textbox

Is Mandatory

  • Hide this field in case of 'Marital Status' = "Unmarried"
  • Accept numbers only
  • Character limit 2 digits
  • Allow Age greater or equals to 15 Years
  • Marriage Age should Not be greater than actual Age

18

Father's Name

Textbox

Is Conditionally Mandatory

Base on the Relationship with Hof, in case of Son or Daughter auto populate Name

  • Input method: Speech to Text feature
  • Optional (Not Mandatory) in case of 'Gender' = "Female" and 'Marital Status' = "Married"
  • Accept alphabets only
  • Character limit 50
  • All letter should be in caps

19

Mother's Name

Textbox

Is Conditionally Mandatory

Base on the Relationship with Hof, in case of Son or Daughter auto populate Name

  • Input method: Speech to Text feature
  • Optional (Not Mandatory) in case of 'Gender' = "Female" and 'Marital Status' = "Married"
  • Accept alphabets only
  • Character limit 50
  • All letter should be in caps

20

Community

Spinner

Is Mandatory
Choose:

  • General
  • SC
  • ST
  • OBC
  • OC
  • Not Given
  • By default, auto select get form HoF
  • But it should be editable

21

Religion

Spinner

Is Mandatory
Choose:

  • Hindu
  • Muslim
  • Christen
  • Sikhism
  • Buddhism
  • Jainism
  • Parsi
  • Other
  • Not disclosed
  • By default, auto select get form HoF
  • But it should be editable

 

ID Details (Not Applicable for New born/ Child/ Adolescent (Age 0 to less than 15 Years))

 

 

 

22

Aadhaar No.

Spinner

Choose:
Yes/ No

 

23

Aadhaar No.

Textbox

 

Show this field when 'Aadhaar No.' is selected "Yes"

  • Accept numeric (integer) values only
  • Accept 12 digits only
  • Should not start from 0
  • Mandatory if Aadhar number is selected above

24

RCH ID

Textbox

 

  • 12-digit unique number
  • Accept numeric (integer) value only
  • Character limit up to 12
  • Show this field only for 'Gender' = "Female" and 'Gender' = "Male" for Child (Age 0 to less than 15 Years)
  • That field is Not Applicable for 'Gender' = "Male" for Age above 15 Years)

II

Below field are only applicable for New born/ Child/ Adolescent Registration (Age 0 to less than 15 Years)

 

 

 

 

Select: Date of Birth OR Age

 

 

 

25

Date of Birth

Calendar
Date Picker

Is Mandatory

  • Auto Calculate 'Age' based on the DOB entered
  • Allow Age 0 to less than 15 Years

26

Age

Textbox

Is Mandatory

  • Auto Calculate 'Date of Birth' based on the Age entered
  • Allow Age 0 to less than 15 Years
  • Character limit 2
  • It is Mandatory to select below 'Age Unit'
  • If Age is greater than 3 Years of Age (less than 15 Years), then enable this field below:
  1. Is the Child Registered at School?
    (S. No. 28)

27

Age Unit

Textbox

Is Mandatory
Choose:

  • Days (s)
  • Month (s)
  • Year (s)
  • When 'Age' is selected above, it is Mandatory to select 'Age Unit'
  • In case of 'Date of Birth' is entered, auto select related value "Days (s)/ Month (s), Year (s)"

28

Is the Child Registered at School?

Spinner

Is Mandatory
Choose

  • Yes
  • No
  • If Age is greater than 3 Years of Age (less than 15 Years), then enable this field
  • If "Yes" is selected, then select 'Type of School/ Institution'

29

Type of School/ Institution

Spinner

Is Mandatory
Choose:

  • Anganwadi
  • Primary
  • Secondary
  • Private
  • Enable if "Yes" is selected above
  • Is Mandatory if other is selected above

 

Birth Details

 

 

 

30

RCH ID

Textbox

 

  • 12-digit unique number
  • Accept numeric (integer) value only
  • Character limit up to 12

31

Birth Certificate No.

Text Box

Default value should be Null

  • Accept numeric value and special characters
  • Character limit 50

32

Place of Birth

Spinner

Is conditionally Mandatory
Choose:

  • Home
  • Sub-Centre
  • PHC
  • CHC
  • Sub-District Hospital,
  • District Hospital,
  • Medical College Hospital
  • In Transit
  • Private Hospital
  • Accredited Private Hospital
  • Other

 


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