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. 4 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 Annual Performa- Card no. of 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. APL Card declared Cm) no. applicant Holder only) Monjita Gohain Jugal Talukdar 45,000 771 65 1058 NEW APL Businesss 155 3 Talukdar Poly Borah Biplob Gohain 48,000 610 199 1059 NEW APL Housewife 155 3 Anjona Saha Jibon Saha 21,000 1005 43 1060 NEW APL Housewife 128 5
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. 4 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. 1058 NEW APL Monjita Gohain Talukdar Jugal Talukdar Businesss 45,000 3 155 771 65 1059 NEW APL Poly Borah Biplob Gohain Housewife 48,000 3 155 610 199 1060 NEW APL Anjona Saha Jibon Saha Housewife 21,000 5 128 1005 43
WARDWISE_UNDER_NFSO.docx