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. 2 Targeted Population……………………………………….. No.& Name of Gaon Panchayat ………………………………………….. Name of Development Block………………………………………………………………….. ….. Name of Revenue Circle:- Diphu . 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 Head of the family Father/ Husband Name 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) Sabita Devi Kewal Saha Housewife 29000 2 180 548 50 175 NEW APL Sapna Shrivastaw Motilal Shrivastaw Housewife 30000 4 180 514 40 176 NEW APL Raji Kaur Sukhbindar Singh Housewife 36000 4 180 510 38 NEW APL 177
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. 2 Targeted Population……………………………………….. No.& Name of Gaon Panchayat ………………………………………….. Name of Development Block………………………………………………………………….. ….. Name of Revenue Circle:- Diphu . 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. 175 NEW APL Sabita Devi Kewal Saha Housewife 29000 2 180 548 50 176 NEW APL Sapna Shrivastaw Motilal Shrivastaw Housewife 30000 4 180 514 40 177 NEW APL Raji Kaur Sukhbindar Singh Housewife 36000 4 180 510 38
WARDWISE_UNDER_NFSO.docx