SELECT LIST OF ELIGIBLE HOUSE HOLDS UNDER NSFSO 2013 WARD NO . 2 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) NEW APL Ganga Das Arun Das Housewife 25000 4 180 780 136 169 NEW APL Mitali Bodo Manoj Das Housewife 19000 5 180 57 43 170 NEW APL Suchi Rani Das Basudew Das Housewife 25000 4 180 940 297 171
SELECT LIST OF ELIGIBLE HOUSE HOLDS UNDER NSFSO 2013 WARD NO . 2 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. 169 NEW APL Ganga Das Arun Das Housewife 25000 4 180 780 136 170 NEW APL Mitali Bodo Manoj Das Housewife 19000 5 180 57 43 171 NEW APL Suchi Rani Das Basudew Das Housewife 25000 4 180 940 297
WARDWISE_UNDER_NFSO.docx