SPECI

Name of the Name of the Gram Name of the Name of the

S.NO
Mandal Panchayat Village Beneficiery

1 PARIGI SASANAKOTA SASANAKOTA K VARALAKSHMI

2 PARIGI SASANAKOTA SASANAKOTA P RAMANJINAPPA

SIGNATURE OF SIGNATURE OF

GRAMA PANCHAYAT ENGINEERING ASSISTANT

SECATRY ………………….GP
…………………. ………………..MANDAL
GP
………………..M
ANDAL

సూచిక: 1)పైన చూపబడిన అన్ని కాలమ్స్ తప్పనిసరిగా FILL UP చేయవలెను

2) Fill Up చేసి, దృవీకరించిన ఎక్సెల్ ఫార్మాట్ ను(Soft & Hard copies) M.P.D.O. ఆఫీస్ లో అందజేయ
 SPECIAL DRIVE ON IHHLs FORMET

Name of the
RATION CARD
Beneficiery CASTE AADHAR NO. BANK A/C
W/O,S/O,D/o NO

K SHIVAPPA LATE BC-A ‘2818567921 ‘589979451825 ‘31382200085110

PACHAYAPPA SC ‘2810999824 ‘462660870487 ‘20207435564

SIGNATURE SIGNATURE OF
OF
AE-RWS EO(PR&RD)
…………… ………………….GP
…….GP ………………..MANDAL
……………
…..MANDAL

pies) M.P.D.O. ఆఫీస్ లో అందజేయవలెను.

 Remarks( previousl
y, if any IHHL
IFSC CODE Mobile Number Toilet exists,
mention in remarks
columns)

CNRB0013138 ‘7337313930 imms updated

SBIN0000845 ‘9642857063 imms updated