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) Julficar Begum Abdul Rashid 18.000/- 174 775 221b 1350 NEW APL Housewife 4 Ketno Jishing Uma Bhumiz 18.000/- 133 988 38 1351 NEW APL Housewife 2 Rengma Purnanarayan Tulumoni Gogoi 10000 170 98 21 1352 NEW APL Housewife 4 Singh SELECT LIST OF ELIGIBLE HOUSE HOLDS UNDER NSFSO 2013 WARD NO . 3 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. 1350 NEW APL Julficar Begum Abdul Rashid Housewife 18.000/- 4 174 775 221b 1351 NEW APL Uma Bhumiz Ketno Jishing Rengma Housewife 18.000/- 2 133 988 38 1352 NEW APL Tulumoni Gogoi Purnanarayan Singh Housewife 10000 4 170 98 21 SELECT LIST OF ELIGIBLE HOUSE HOLDS UNDER NSFSO 2013 WARD NO . 3 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