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. 2 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 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) Asha Kuri Porma Kuri 20000 180 776 134 161 NEW APL Housewife 5 Mita Mazumdar Nepal Mazumdar 20000 180 405 12 162 NEW APL Housewife 4 Shipra Dutta Pran Kr. Dutta 20000 180 178 28 163 NEW APL 5 Housewife 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. 2 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. 161 NEW APL Asha Kuri Porma Kuri Housewife 20000 5 180 776 134 162 NEW APL Mita Mazumdar Nepal Mazumdar Housewife 20000 4 180 405 12 163 NEW APL Shipra Dutta Pran Kr. Dutta Housewife 20000 5 180 178 28 SELECT LIST OF ELIGIBLE HOUSE HOLDS UNDER NSFSO 2013
WARDWISE_UNDER_NFSO.docx