SELECT LIST OF ELIGIBLE HOUSE HOLDS UNDER NSFSO 2013 Karbi Anglong Diphu Name of LAC:- 19 Diphu (ST) LAC Name of District 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) Ruma Dey Sajal Dey Housewife 2 19,000 1125 9 1061 NEW APL 164 Rina Dey 20,000 68 9 1062 NEW APL Amar Dey Housewife 164 4 Minoti Rongpipi 10,000 1.2 1.2 1063 NEW APL Welson Teron Cultivator 239 3
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. 1061 NEW APL Ruma Dey Sajal Dey Housewife 19,000 2 164 1125 9 1062 NEW APL Rina Dey Amar Dey Housewife 20,000 4 164 68 9 1063 NEW APL Minoti Rongpipi Welson Teron Cultivator 10,000 3 239 1.2 1.2
WARDWISE_UNDER_NFSO.docx