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Acknowledgement Receipt

ëĠČćĉĊǿćĚ÷đȄĚƌěƸĜöĚĐĊǿ

Acknowledgement No. : Applied On : 02/05/2022


1. ĊĐěČĚĐĐNPR ĠöĚĂ : NA
(If available)

2. ĊĐěČĚĐĐĎĝ÷ȻŋĉĚĎ ìąěȎĜČěĖȭĚĒ
House/Plot No. : P-0
āěöĄĚDzĚĊULB : WARD NO. 65

Block : BHUBANESWAR MC
District : KHORDHA
Mobile No : 6370706294

3. ĊĐěČĚĐĐĖćĖȻŋĖè÷ȻĚ 3

a) ĖćĖȻŋĉĚĎ :

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


1 ìąěȎĜČěĖȭĚĒ 27 Jun 1986 ĎėěĒĚ Head 251412613843
2 ĎɳąĝȻśĩČěĖȭĚĒ 06 Mar 2009 ĊĝĐĝĕ Son 730303928170
3 ĖĝýěąöĝĎĚĐČěĖȭĚĒ 01 Jan 1979 ĊĝĐĝĕ Husband 522027168902

4. Ration size indicated


ĎĝŢĊěüĚČĚüědžČĚĖĚĎDzĜĐĊĐěĎĚĄ  : 5 Kg Rice

5. FPS Name and Code (Preferred) ĊĖƃöĐĚďĚìdžČĚFPSĐĉĚĎôĠöĚǕ}


1913P050-SANTOSH KU SUBUDDHI 1913P050
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 : No

9. Bank Account Number : NA

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