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  • Acknowledgement Receipt 12091010075

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    This document is an acknowledgement receipt for an address in Ward No. 10, Block JAGATSINGHPUR MPLT, Jagatsinghpur District, Odisha. It provides details of the household including names, dates of birth, and EPIC numbers for 3 members. It also specifies ration size of 4kg rice and 1kg wheat through FPS 1209P018-BHABAGRAHI SAHOO. Bank account and mobile numbers are included for distribution purposes.

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    This document is an acknowledgement receipt for an address in Ward No. 10, Block JAGATSINGHPUR MPLT, Jagatsinghpur District, Odisha. It provides details of the household including names, dates of birth, and EPIC numbers for 3 members. It also specifies ration size of 4kg rice and 1kg wheat through FPS 1209P018-BHABAGRAHI SAHOO. Bank account and mobile numbers are included for distribution purposes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    10 views1 page

    Acknowledgement Receipt 12091010075

    Uploaded by

    CSC PAN
    This document is an acknowledgement receipt for an address in Ward No. 10, Block JAGATSINGHPUR MPLT, Jagatsinghpur District, Odisha. It provides details of the household including names, dates of birth, and EPIC numbers for 3 members. It also specifies ration size of 4kg rice and 1kg wheat through FPS 1209P018-BHABAGRAHI SAHOO. Bank account and mobile numbers are included for distribution purposes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Acknowledgement Receipt

    ëĠČćĉĊǿćĚ÷đȄĚƌěƸĜöĚĐĊǿ

    Acknowledgement No. : Applied On : 06/10/2019


    1. ĊĐěČĚĐĐNPR ĠöĚĂ : NA
    (If available)

    2. ĊĐěČĚĐĐĎĝ÷ȻŋĉĚĎ ĎĎąĚýČěČě
    House/Plot No. : 00
    āěöĄĚDzĚĊULB : WARD NO. 10

    Block : JAGATSINGHPUR MPLT


    District : JAGATSINGHPUR
    Mobile No : 9668819181

    3. ĊĐěČĚĐĐĖćĖȻŋĖè÷ȻĚ 3

    a) ĖćĖȻŋĉĚĎ :

    ǰĉè ĉĚĎ ýĉȯąĚĐě÷ đěŏ Ďĝ÷ȻŋĖėĖƓöƽ ëĈĚĐĖè÷ȻĚ EPIC Ėè÷ȻĚ


    1 ĠėĉĚ÷Ěąĝĉ 09 May 2012 ĎėěĒĚ Daughter 213214125859
    2 ĎĎąĚýČěČě 12 May 1974 ĎėěĒĚ Head 511205461665
    3 ĖĚćěö÷Ěĉ 12 May 1954 ĊĝĐĝĕ Husband 665466568585

    4. Ration size indicated


    ĎĝŢĊěüĚČĚüědžČĚĖĚĎDzĜĐĊĐěĎĚĄ  : 4 Kg Rice & 1 Kg Wheat

    5. FPS Name and Code (Preferred) ĊĖƃöĐĚďĚìdžČĚFPSĐĉĚĎôĠöĚǕ}


    1209P018-BHABAGRAHI SAHOO 1209P018
    6. Electricity Consumer No : NA Electricity Division : NA
    Distributor : NA

    7. LPG Gas Connection No : NA Gas Agency : NA


    Distributor : NA

    8. Auto Inclusion ȄďĝýȻ : Yes

    9. Bank Account Number : 412234001004057

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