5/11/2017 Handloom 

:: User Record Print

Basic Information of Handloom Weaver

Name of the Head of the
1 K.SHANMUGAM House Holder ID : 330000000100
Household:

2 Father’s / Husband’s Name : KANDHASAMY

House Serial
3 239 4 Mohalla: SRC COLONY
No. :

5 Village/Ward: GANAPATHIPALAYAM 6 Block/Municipality: AVINASHI

7 District: TIRUPPUR 8 State: Tamil Nadu

Whether If so give certificate Issue

9 OBC
Belongs to: No: Date:

If so give certificate Issue
10 Ration Card: BPL 13/W/0128990 Date: 06­10­2005
No:

EPIC / Voter
Aadhaar Card No:
ID Card No.: TN/20/115/0366211 412363702506
11
Weaver I
Card No: 163

12 Mobile No: 9894341862 Alternate No:

Yarn (In case member of cooperative
13 Passbook Society give society passbook
No: number)

14. Details of Family Member

i Relation with Engaged Engaged in Photo of

Year of Education
Name  head of Sex in Preparatory Family
birth  Level 
1 Family 3 weaving  Work  Member
4 5
2 6 7 8

Family Member ID : 330000000101

Below   
K.SHANMUGAM Self Male 1951 Yes Yes
Primary

Contact No Aadhaar No PAN Card  Email Id

9 10 11 12

9894341862 412363702506
Bank Account No (14
Name of the Bank  Location(Branch)  IFSC Code 
digit)
13 14 15
16

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5/11/2017 Handloom :: User Record Print

BANK OF INDIA GANAPATHYPALAYAM BKID0008212 821210100000184

Relation with Engaged Engaged in Photo of

Year of Education
Name  head of Sex in Preparatory Family
birth  Level 
1 Family 3 weaving  Work  Member
4 5
2 6 7 8

Family Member ID : 330000000102

ii
Contact No Aadhaar No PAN Card  Email Id
9 10 11 12

Bank Account No (14
Name of the Bank  Location(Branch)  IFSC Code 
digit)
13 14 15
16

Relation with Engaged Engaged in Photo of

Year of Education
Name  head of Sex in Preparatory Family
birth  Level 
1 Family 3 weaving  Work  Member
4 5
2 6 7 8

Family Member ID : 330000000103

iii
Contact No Aadhaar No PAN Card  Email Id
9 10 11 12

Bank Account No (14
Name of the Bank  Location(Branch)  IFSC Code 
digit)
13 14 15
16

Relation with Engaged Engaged in Photo of

Year of Education
Name  head of Sex in Preparatory Family
birth  Level 
1 Family 3 weaving  Work  Member
4 5
2 6 7 8

Family Member ID : 330000000104

iv
Contact No Aadhaar No PAN Card  Email Id
9 10 11 12

Bank Account No (14
Name of the Bank  Location(Branch)  IFSC Code 
digit)
13 14 15
16

v Relation with Engaged Engaged in Photo of

Year of Education
Name  head of Sex in Preparatory Family
birth  Level 
1 Family 3 weaving  Work  Member
4 5
2 6 7 8

Family Member ID : 330000000105

Contact No Aadhaar No PAN Card  Email Id

9 10 11 12

Bank Account No (14
Name of the Bank  Location(Branch)  IFSC Code 
digit)
13 14 15
16

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5/11/2017 Handloom :: User Record Print

Relation with Engaged Engaged in Photo of

Year of Education
Name  head of Sex in Preparatory Family
birth  Level 
1 Family 3 weaving  Work  Member
4 5
2 6 7 8

Family Member ID : 330000000106

vi
Contact No Aadhaar No PAN Card  Email Id
9 10 11 12

Bank Account No (14
Name of the Bank  Location(Branch)  IFSC Code 
digit)
13 14 15
16

Relation with Engaged Engaged in Photo of

Year of Education
Name  head of Sex in Preparatory Family
birth  Level 
1 Family 3 weaving  Work  Member
4 5
2 6 7 8

Family Member ID : 330000000107

vii
Contact No Aadhaar No PAN Card  Email Id
9 10 11 12

Bank Account No (14
Name of the Bank  Location(Branch)  IFSC Code 
digit)
13 14 15
16

15. Product Details: Year 2014­15

No. Product Production Sale Value in (Rs.)

No of pcs or Value Co­op Master
Exhibition Exporter Others
Yardage in mtrs. in Rs. Society Weaver
1 2 3 4 5 6 7 8 9
i Sarees 0

ii Dress Material 0

iii Dhoti 0

iv Stole / Scarf 0

v Bed sheet 0

vi Home
0
Furnishing
vii Shawl/Chadar 0

viii Faric 0

xi Others 0

16. Whether registered in Handloom Mark: No

If Yes, Please mention registration number :

17. Whether registered in India Handloom Brand: No

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5/11/2017 Handloom :: User Record Print

If Yes, Please mention registration number :

18. Benefits availed during XII Plan (2012­13 to till date)

i Work shed: No Source : ­­­

ii Yarn, Dyes & Chemicals: No Source : ­­­

iii Loom, Loom Parts: No Source : ­­­

iv Credit, Waiver of Loan: No Source : ­­­

v Skill up gradation (Training): No Source : ­­­

vi Designs: No Source : ­­­

vii Participation in Fairs/ Exhibitions/Haats: No

viii Services of Common Facility Centre: No

19. Requirement of the weaver for undertaking High Value Production
i Work shed: No

ii Loom, Loom accessories: Yes JACQUARD BOX

iii Raw Material, Yarn, Dyes, Chemicals: No

iv Design Support: No

v Training: No

vi Credit: No

vii Marketing: No

viii Common Facility Centre at Block level: No

20. Co­operative Society­ services extended by the existing Co­operative Society
and additional support required

Whether attached to any cooperative
i
society:

ii Name of cooperative society:

iii Services extended:

iv Additional support required:

21. Is any educated persons of the Weaver's family is interested for Setting up Handloom Business 
(If so, Support required)

No  

22. Others
 

     

(Signature of Officer) (Signature of Weaver)

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5/11/2017 Handloom :: User Record Print

Note: Attach Scanned copies of the

     
Handloom fabric made by the
Weaver

Aadhaar Card Antodaya or BPL Card

  

Certificate of belonging to
Cancelled Cheque
SC/ST/OBC/Minority

Bank Account – Scanned
Copy of Passbook (Front page
& last page).

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