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MDM DRY RATION COUPON FORMAT FOR COVID-19

DISTRICT – BALANGIR BLOCK- BELPADA CLUSTER- MANDAL G.P. - TENTULIMUNDA

TOKEN SL. NO - DATE- /03/2020

SCHOOL NAME - J.R.M. NODAL HIGHSCHOOL, TENTULIMUNDA

NAME OF THE STUDENT- CLASS -

NAME OF FATHER/MOTHER/GUARDIAN - MOB. NO -

QTT. OF DRY RATION RICE FOR 90 DAYS - 9K.G. / 13.5K.G

NFSA / SFSA CARD NO. OF PARENT / GUARDIAN –

This is to certify that the student(s) mentioned above that is / are bonafied student of the school entitled MDM during the academic year .

Full Sign. Of parent / guardian at Full Sign. With date and seal of Headmaster.

the time of receiving MDM dry ration.

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