2:____________________ Name and thumb prints No.3:_____________________ Head of household and Spouse/Name Name and thumb prints and thumb prints Date_____________________________ Date______________________________ Seen and Approved Seen and Approved Chief of Village Chief of Commune/Sankgat 3: 5: List of Participants Road Asset Management Project (RAMP-II) Commune: Memot Date: 10th October 2014 No. Name Position Village Signature Contact 1 Men Sam Ol Commune Memot 012357308 2 Krim Assistant to 012811722 commune
2:____________________ Name and thumb prints No.3:_____________________ Head of household Name and thumb prints and Spouse/Name and thumb prints Date_____________________________ Date______________________________ Seen and Approved Seen and Approved Chief of Village Chief of Commune/Sankgat 3: 5: List of Participants Road Asset Management Project (RAMP-II) Commune: Memot Date: 10th October 2014 No. Name Position Village Signature Contact 1 Men Sam Ol Commune Memot 012357308 2 Krim Assistant to commune 012811722
SFG1575-V2-REVISED-RP-P150572-PUBLIC-Disclosed-5-8-2018.docx