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………………………………………………………… Sl No. Performa- Card no. of Type of F.C.I Name of women applicant Total Father/ Husband Name Occupation of the Annual As per recent voter list of Photograph of C & check existing FIC Card (for (under NFSO) number of Head of the family family Women applicant assembly election list Holder or BPL/ family income as per Performa- C (size 3.5 cm)X 2.5 registration mention members PS No. SL No. House MMASY/ declared no. new Cm) applicant No. APL Card Holder only) Indu Gohain Uma Kanta Gohain 12,000 613 200 1055 NEW APL 155 Housewife 3 Jugamaya Gogoi Lt. Mohesh Gogoi 20,000 613 68 1056 NEW APL 155 Pensioner 3 Dipali Choudhory Bhagaban Choudhory 19000 595 63 1057 NEW APL 155 Housewife 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. 1055 NEW APL Indu Gohain Uma Kanta Gohain Housewife 12,000 3 155 613 200 1056 NEW APL Jugamaya Gogoi Lt. Mohesh Gogoi Pensioner 20,000 3 155 613 68 1057 NEW APL Dipali Choudhory Bhagaban Choudhory Housewife 19000 5 155 595 63
WARDWISE_UNDER_NFSO.docx