Professional Documents
Culture Documents
:: User Record Print
Basic Information of Handloom Weaver
Name of the Head of the
1 K.VAIYAPURI House Holder ID : 330000000100
Household:
2 Father’s / Husband’s Name : KANDASAMY
House Serial
3 2/261 4 Mohalla: SRC NAGAR
No. :
If so give certificate Issue
10 Ration Card: BPL 13/G/1179971 Date: 01062005
No:
EPIC / Voter
Aadhaar Card No:
ID Card No.: TN/20/115/0366154 256680500228
11
Weaver I
Card No: 47
Yarn (In case member of cooperative
13 Passbook Society give society passbook
No: number)
14. Details of Family Member
Family Member ID : 330000000101
9750110599 256680500228
Bank Account No (14
Name of the Bank Location(Branch) IFSC Code
digit)
13 14 15
16
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5/15/2017 Handloom :: User Record Print
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
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
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
Family Member ID : 330000000105
Bank Account No (14
Name of the Bank Location(Branch) IFSC Code
digit)
13 14 15
16
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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
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
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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5/15/2017 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 :
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,FRAME LOOM,HEALDS&REEDS
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:
20. Cooperative Society services extended by the existing Cooperative Society
and additional support required
Whether attached to any cooperative
i Yes
society:
ii Name of cooperative society: CH32 GANAPATHIPALAYAM WCS
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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5/15/2017 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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