Name of GPSS/WCCS …………………………………………………………………………………… Name of nearest Fair price Shop Dealer………………………………………………………… Type of F.C.I As per recent voter list of Photograph of Performa- Card no. of Annual Card (for BPL/ Occupation of the Total assembly election C & check existing FIC Women applicant family Name of women applicant number of Father/ Husband Name Head of the family Sl No. list Holder or MMASY/ (under NFSO) family (size 3.5 cm)X 2.5 income registration mention new as per Performa- C members PS No. SL No. House No. declared APL Card Cm) no. applicant Holder only) Asha Sharma Bhimlal Sarmah 30,000/- 172 45 1 1344 NEW APL Housewife 5 Lila Thapa Bhuwan Sigh 25,000/- 172 944 7 1345 NEW APL Housewife 6 Kave Teronpi Hemari Rongpi 25,000/- 184 1136 98 1346 NEW APL Cultivator 5 SELECT LIST OF ELIGIBLE HOUSE HOLDS UNDER NSFSO 2013 Diphu Name of LAC:- 19 Diphu (ST) LAC Name of District :- Karbi Anglong Name of Sub –Division:- Name of village/municipal /Town Ward:- Ward No. 3 Targeted Population……………………………………….. No.& Name of Gaon Panchayat …………………………………………..
Name of GPSS/WCCS …………………………………………………………………………………… Name of nearest Fair price Shop Dealer………………………………………………………… Sl No. Performa- C & check list registration no. Card no. of existing FIC Holder or mention new applicant Type of F.C.I Card (for BPL/ MMASY/ APL Card Holder only) Name of women applicant (under NFSO) Father/ Husband Name Occupation of the Head of the family as per Performa- C Annual family income declared Total number of family members As per recent voter list of assembly election Photograph of Women applicant (size 3.5 cm)X 2.5 Cm) PS No. SL No. House No. 1344 NEW APL Asha Sharma Bhimlal Sarmah Housewife 30,000/- 5 172 45 1 1345 NEW APL Lila Thapa Bhuwan Sigh Housewife 25,000/- 6 172 944 7 1346 NEW APL Kave Teronpi Hemari Rongpi Cultivator 25,000/- 5 184 1136 98 SELECT LIST OF ELIGIBLE HOUSE HOLDS UNDER NSFSO 2013 Name of LAC:- 19 Diphu (ST) LAC Name of District :- Karbi Anglong Name of Sub –Division:- Diphu Name of village/municipal /Town Ward:- Ward No. 3 Targeted Population……………………………………….. No.& Name of Gaon Panchayat …………………………………………..
WARDWISE_UNDER_NFSO.docx