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) Bari Killingpi Phukan Bey 25,000/- 184 1155 98 N 1329 NEW APL Cultivator 6 Amphu Rongpipi Sundar Killing 25,000/- 184 1145 98 1330 NEW APL Cultivator 6 Basapi Engtipi A. Killing 25,000/- 184 1149 98 1331 NEW APL Cultivator 10 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 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. 1329 NEW APL Bari Killingpi Phukan Bey Cultivator 25,000/- 6 184 1155 98 N 1330 NEW APL Amphu Rongpipi Sundar Killing Cultivator 25,000/- 6 184 1145 98 1331 NEW APL Basapi Engtipi A. Killing Cultivator 25,000/- 10 184 1149 98 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
WARDWISE_UNDER_NFSO.docx