Father's/Husband's Name Occupation of the head of the family as per

SELECT LIST OF ELIGIBLE HOUSEHOLD UNDER NFSA 2013 Name of LAC : 98 JORHAT Name of District : JORHAT Name of Sub-Division : JORHAT Name of Village/Municipal/Town ward : 6 NO WARD Targeted Population : 23 No. & Name of Gaon Panchayat : JORHAT MUNICIPALITY Name of Development Block : JORHAT MUNICIPALITY Name of Revenue Circle : EAST & WEST Name of GPSS/WCCS: Name of nearest Fair Price Shop Dealer : ASADUL HAQUE Sl. No. Proforma - Card No. C & Check Name of Women applicant (Under NFSA) Father's/Husband's Name Occupation of the head of the family as per Address Annual family Total no. of family list registratio Profoma-C income members declared n No. of existing FIC Holders or mention new applicant Type of F.I.Card (for BPL/MMA SY/ card holders) only As per recent voter list of Assembly Election PS No. SI. No. House No. Annexure - V Name of Agent 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1 61194 RINJUMA BEGUM ASHAN ALI HOUSW WIFE 6 NO. WARD 45000 4 93 4 ASADUL HAQUE 2 18720 DIPA KALITA KISHOR PATHAK HOUSW WIFE 6 NO. WARD 60000 3 1046 120 ASADUL HAQUE 3 18727 KUSUM DEVI MAHAVIR PIPLUA HOUSW WIFE 6 NO. WARD 30000 4 158 ASADUL HAQUE 4 61006 KALISALYA RAUT RUMA ROUT PRIVATE JOB 6 NO. WARD 24000 4 215 ASADUL HAQUE 5 129 MANUJ SINGH GOOMLI SINGH HOUSW WIFE 6 NO. WARD 60000 4 485 89 47 ASADUL HAQUE 6 18680 PREETI KUMARI SAHA MUKESH SAHA HOUSW WIFE 6 NO. WARD 14400 4 93 ASADUL HAQUE 7 NIRMALI DEVI BASSWARI LAL SASUBARIA HOUSW WIFE 6 NO. WARD 50000 4 575 94 361 ASADUL HAQUE 8 61137 JAKIR HUSSAIN JAKIR HUSSAIN BUSINESS 6 NO. WARD 15000 4 120 ASADUL HAQUE 9 170 ANJUM ARA BEGUM IMRAN ULLAH HOUSW WIFE 6 NO. WARD 50000 4 101 29 33 ASADUL HAQUE 10 61439 MOMI THAKURIA LOHIT THAKURIA BUSINESS 6 NO. WARD 76000 3 453 147 53 ASADUL HAQUE 11 SURYA AHMED LT. AFTAB UDDIN AHMED FAMAILY PENSONER 6 NO. WARD 6000 1 120 ASADUL HAQUE 12 72 MAYA KARMAKAR NIRMALI KARMAKAR HOUSW WIFE 6 NO. WARD 36000 4 698 73 130 ASADUL HAQUE 13 1 BPL MUKIBUR RAHMAN SALESMEN 6 NO. WARD 36000 4 1035 27 ASADUL HAQUE 14 988217 MMASY SHIVCHARAN SHARMA SELF DAILY WORKER 6 NO. WARD 11000 5 ASADUL HAQUE 15 988225 MMASY SAGANLAL SHARMA SELF DAILY WORKER 6 NO. WARD 12000 6 ASADUL HAQUE 16 988220 MMASY MONISHADEVI AGARWALA MUKESH KR. AGARWALA DAILY WORKER 6 NO. WARD 12000 3 ASADUL HAQUE 17 988224 MMASY PROKASH SEN DAILY WORKER 6 NO. WARD 10000 3 ASADUL HAQUE 18 988223 MMASY DHONLI JAIN OM PRAKASH JAIN DAILY WORKER 6 NO. WARD 10000 7 ASADUL HAQUE 19 988226 MMASY RAMA NIVAS PAREEK SELF DAILY WORKER 6 NO. WARD 10000 7 ASADUL HAQUE 20 988208 MMASY VEDPRAKASH SARMA SELF DAILY WORKER 6 NO. WARD 10000 6 ASADUL HAQUE 21 988218 MMASY ARUNA DEVI SARMA BINDESWOR MANDAL DAILY WORKER 6 NO. WARD 12000 6 ASADUL HAQUE 22 988222 MMASY SITA DEVI NAGENDRA SAHA DAILY WORKER 6 NO. WARD 8000 6 ASADUL HAQUE 23 988221 MMASY BHAGABATI DEVI VYAS GIRDHARI LAL VYAS DAILY WORKER 6 NO. WARD 10000 6 ASADUL HAQUE

Name of LAC : 98 JORHAT Name of District : JORHAT Name of Sub-Division : JORHAT Name of Village/Municipal/Town ward : 6 NO WARD Targeted Population : 27 No. & Name of Gaon Panchayat : JORHAT MUNICIPALITY Name of Development Block : JORHAT MUNICIPALITY Name of Revenue Circle : EAST & WEST Name of GPSS/WCCS: Name of nearest Fair Price Shop Dealer : ANUWAR BEGUM Sl. No. Proforma - C & Check list registratio n No. Card No. of existing FIC Holders or mention new applicant Type of F.I.Card (for BPL/MMA SY/ card holders) only Name of Women applicant (Under NFSA) Father's/Husband's Name Occupation of the head of the family as per Profoma-C PS No. SI. No. House No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1 966585 BPL ZARINA BEGUM LT. JAFAR HUSSAIN DAILY WORKER 6 NO. WARD 12,000 6 341 35 ANUWAR BEGUM 2 966592 BPL PHUNU BORUAH LT. BRISHNU BORUAH DAILY WORKER 6 NO. WARD 12800 2 559 97 ANUWAR BEGUM 3 985911 MMASY MONUJ DEVI PANDEY PROMUD PANDEY DAILY WORKER 6 NO. WARD 15000 6 ANUWAR BEGUM 4 985979 MMASY ANJALI DEVI BAGORI SUNIL KR.BAGORI DAILY WORKER 6 NO. WARD 12000 7 ANUWAR BEGUM 5 985909 MMASY BIMALA DEVISHARMA BRISHNU SHARMA DAILY WORKER 6 NO. WARD 14000 6 656 53 ANUWAR BEGUM 6 985978 MMASY HAFIZA BEGUM HABIBULLA HUSSAIN DAILY WORKER 6 NO. WARD 12800 3 ANUWAR BEGUM 7 985908 MMASY RAMESWORI DEVI BOHORA GORI SANKAR BOHRA DAILY WORKER 6 NO. WARD 12000 3 ANUWAR BEGUM 8 986000 MMASY KALYANI DEVI MANDAL KISHOR MANDOL DAILY WORKER 6 NO. WARD 15000 9 ANUWAR BEGUM 9 985999 MMASY BINA BORUAH PULIN BORUAH DAILY WORKER 6 NO. WARD 22000 8 ANUWAR BEGUM 10 985998 MMASY BANDANA DAS SIBU DAS DAILY WORKER 6 NO. WARD 15000 5 39 5 ANUWAR BEGUM 11 985998 MMASY RITA DEVI MANDAL SUESH MANDAL DAILY WORKER 6 NO. WARD 12000 4 ANUWAR BEGUM 12 985997 MMASY MALOBIKA BORUAH LT. BRISHNU MANDAL DAILY WORKER 6 NO. WARD 15000 3 563 97 ANUWAR BEGUM 13 985996 MMASY RAJESWORI DEVI MANDAL LAL BABU MANDAL DAILY WORKER 6 NO. WARD 128000 6 ANUWAR BEGUM 14 985980 MMASY PRTIMA DAS LT. PROFULA RANJAN DAS DAILY WORKER 6 NO. WARD 13000 2 37 5 ANUWAR BEGUM 15 985945 MMASY PARUL GHOSH SAHINTO GHOSH DAILY WORKER 6 NO. WARD 12000 6 730 208 ANUWAR BEGUM 16 1859915 MMASY PUSPA DEY SUKUMAR DEY DAILY WORKER 6 NO. WARD 15000 3 631 281 ANUWAR BEGUM 17 1859914 MMASY KANTI DEVI THAKUR SATYA RANJAN THAKUR DAILY WORKER 6 NO. WARD 12000 6 ANUWAR BEGUM 18 1860046 MMASY MAUSUMI DEVI GAUTAM BARUAH BUSINESS 6 NO. WARD 25000 3 ANUWAR BEGUM 19 1859917 MMASY RATNA DEVI MANDAL KULDEEP MANDAL DAILY WORKER 6 NO. WARD 12000 6 ANUWAR BEGUM 20 1860034 MMASY MANU BARUAH JITU BARUAH DAILY WORKER 6 NO. WARD 15000 5 ANUWAR BEGUM 21 1859913 MMASY ANGURIK AHMED ANJASUDDIN AHMED DAILY WORKER 6 NO. WARD 12000 6 444 ANUWAR BEGUM 22 1859912 MMASY JAHIDA CHADHARY MD. SULTAN DAILY WORKER 6 NO. WARD 13000 6 ANUWAR BEGUM 23 1859918 MMASY HIYA TAPORIA LT. BHOWARI LAL TAPORIA DAILY WORKER 6 NO. WARD 10000 6 ANUWAR BEGUM 24 1859916 MMASY MINKU BARUAH RUPJYOTI BARUAH BUSINESS 6 NO. WARD 20000 2 ANUWAR BEGUM 25 1860045 MMASY ASHA DEVI MAHANTA SAMBHU MAHANTA DAILY WORKER 6 NO. WARD 12800 5 ANUWAR BEGUM 26 985907 MMASY BASANTI SAHU BINOD SAHU DAILY WORKER 6 NO. WARD 18000 5 ANUWAR BEGUM 27 1859699 MMASY SANTU GAYAN TARUN GAYAN DAILY WORKER 6 NO. WARD 15000 3 ANUWAR BEGUM Address Annual family income declared Total no. of family members As per recent voter list of Assembly Election Name of Agent

SELECT LIST OF ELIGIBLE HOUSEHOLD UNDER NFSA 2013 Name of LAC : 98 JORHAT Name of District : JORHAT Name of Sub-Division : JORHAT Name of Village/Municipal/Town ward : 6 NO WARD Targeted Population : 30 No. & Name of Gaon Panchayat : JORHAT MUNICIPALITY Name of Development Block : JORHAT MUNICIPALITY Name of Revenue Circle : EAST & WEST Name of GPSS/WCCS: Name of nearest Fair Price Shop Dealer : DOLAN MAZUMDAR Sl. No. Proforma -Card No. of Name of Women applicant Father's/Husband's Name Occupation of the Address Annual C & Check existing FIC (Under NFSA) head of the family as family list Holders or per Profoma-C income registratio mention declared n No. new applicant Type of F.I.Card (for BPL/MMA SY/ card holders) only Total no. of family members As per recent voter list of Assembly Election PS No. SI. No. House No. Annexure - V Name of Agent 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1 9 14441 SUMAN DEVI SANTOSH SAH FARIWALA 6 NO. WARD 60000 6 DOLAN MAZUMDAR 2 20 61001 MALOTI BARMAN TAPAN RAM BORMAN FARIWALA 6 NO. WARD 60000 5 DOLAN MAZUMDAR 3 22 576559 PAPITA SAHANI BISWAS SAHANI FARIWALA 6 NO. WARD 45000 7 143 DOLAN MAZUMDAR 4 37 14256 GITA RANI GHOSH LT. KALI MOHAN GHOSH SERVENT 6 NO. WARD 46000 6 87 88 DOLAN MAZUMDAR 5 42 14390 LAKHI DAS LT. GOPAL DAS SERVENT 6 NO. WARD 60000 7 80 72 DOLAN MAZUMDAR 6 50 6562 RANU DUTTA LT. GORANGA DUTTA SERVENT 6 NO. WARD 36000 2 92 5 DOLAN MAZUMDAR 7 49 4463 MARKHUN DEVI BHOLA PRASAD THALAWALA 6 NO. WARD 40000 6 DOLAN MAZUMDAR 8 33 4455 SONI DEVI AJIR SAHANI FARIWALA 6 NO. WARD 50000 10 90 DOLAN MAZUMDAR 9 48 14266 SARMILA KARUWA GIRIDHARI LAL KARUWA FARIWALA 6 NO. WARD 62000 8 64 DOLAN MAZUMDAR 10 55 576561 NILAM DEVI RAJENDRA PD. SAHU HAWKER 6 NO. WARD 65000 6 DOLAN MAZUMDAR 11 57 11023 RADHA PAUL BULAN PAUL SALESMEN 6 NO. WARD 50000 5 DOLAN MAZUMDAR 12 75 5121-00-446 DIPALI BISWAS LT. AMARESH KR. BISWAS HOUSW WIFE 6 NO. WARD 48000 3 72 DOLAN MAZUMDAR 13 77 142496 RINA DAS LT. RANJIT DAS SERVENT 6 NO. WARD 40000 5 105 77 DOLAN MAZUMDAR 14 86 4460 RINKI DAS BISWAJIT DAS SALESMEN 6 NO. WARD 42000 7 122 55 DOLAN MAZUMDAR 15 93 14350 CHANDANA BARDHAN NARAYAN BARDHAN FARIWALA 6 NO. WARD 60000 6 98 DOLAN MAZUMDAR 16 1 14395 SANGITA DEVI BHAGAWAN SHARMA FARIWALA 6 NO. WARD 60000 7 DOLAN MAZUMDAR 17 12 14393 MANJU DEVI SANJOY SHARMA PUJARI 6 NO. WARD 40000 4 DOLAN MAZUMDAR 18 31 4464 MANJU SHARMA PAWAN KR. SHARMA PUJARI 6 NO. WARD 39000 10 95 DOLAN MAZUMDAR 19 43 894 TOSHBIRAN BEGUM MD. MAZAD ALI WORKER 6 NO. WARD 60000 5 68 DOLAN MAZUMDAR 20 10 14453 SUSILA DEVI SHARMA SATYA NARAYAN SHARMA PUJARI 6 NO. WARD 40000 7 DOLAN MAZUMDAR 21 16 SANTA DEVI SHARMA LT. SHAMPAD KR. SHARMA HOUSW WIFE 6 NO. WARD 40000 12 DOLAN MAZUMDAR 22 32 4903 KAMINI SHARMA PAWAN SHARMA HOUSW WIFE 6 NO. WARD 30000 3 DOLAN MAZUMDAR 23 9/201/0830977841 MMASY SANJU DEVI SHARMA KAILASH SHARMA PUJARI 6 NO. WARD 60000 6 80 59 DOLAN MAZUMDAR 24 9/201/0814977843 MMASY CHINTA DEVI RAI SANKAR RAI WORKER 6 NO. WARD 60000 6 DOLAN MAZUMDAR 25 9/201/0814977842 MMASY MALA SINGH SAMBHU SINGH WORKER 6 NO. WARD 48000 4 DOLAN MAZUMDAR 26 44 142502 JABA MAZUMDAR DOLAN MAZUMDAR SALESMEN 6 NO. WARD 60000 4 66 330 DOLAN MAZUMDAR 27 53 576560 RAJU KUMARI DEVI INDRADED SAH SALESMEN 6 NO. WARD 70000 7 DOLAN MAZUMDAR 28 63 142503 SABITA MAJUMDAR LT. MILAN MAZUMDAR SALESMEN 6 NO. WARD 24000 3 89 330 DOLAN MAZUMDAR 29 9/201/0816977837 MMASY NAGENDAR MANDAL SALESMEN 6 NO. WARD 46000 4 DOLAN MAZUMDAR 30 9/201/0793977830 MMASY SURAJ BALA DEVI CHANDRA SEKHAR MANDAL SALESMEN 6 NO. WARD 60000 7 108 18 DOLAN MAZUMDAR

16 42 NARAYANI DEVI HARI KRISHNA SHARMA BUSINESS 6 NO. WARD 60000 5 17 44 NAINA TIWARI MANISH TIWARI BUSINESS 6 NO. WARD 30000 8 18 4814668 SAROJ KAUR GURU CHARAN SINGH BUSINESS 6 NO. WARD 30000 6 57 57 24 19 4914685 ANAPURNA DEVI HIRALAL KAKAR BUSINESS 6 NO. WARD 100000 3 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 5014715 SORALA DEVI SHARMA GOUNID PD. SHARMA BUSINESS 6 NO. WARD 18000 5 88 270 29 5319791 RUPHYA BEGUM MAHBUB ALI BUSINESS 6 NO. WARD 10000 3 36 5619926 JYOTI DEVI MALRA MANOHAR MALRA BUSINESS 6 NO. WARD 90000 4 94 239 13 60 MAGWEI ZAHIR HUSSAIN BUSINESS 6 NO. WARD 15000 6 6461970 SHANTI DEVI RICHPAL SHARMA BUSINESS 6 NO. WARD 50000 7 95 132 6563343 HEMLATA SHARMA RUMANAN SHARMA BUSINESS 6 NO. WARD 95000 7 792 1(191) 6614731 SUSHILA SONI DARAKA PD. SONI BUSINESS 6 NO. WARD 40000 6 67 RENU DEVI CHAJIR JATAN LAL CHAJIR BUSINESS 6 NO. WARD 30000 4 7414692 MEGHA DEVI CHANDA JITENDRA CHANDA BUSINESS 6 NO. WARD 70000 4 69A 727 24 78283 SWARASATI BHARATIA PRODIP BHARATIA EMPLOYEE 6 NO. WARD 28000 3 68 260 27 80 PUNAM DEVI NARAYAN BHAGAT 6 NO. WARD 5 8212621 MIRMALAL DEVI AGARWALA NANDLAL AGARWALA BUSINESS 6 NO. WARD 80000 2 93 93 211 85 MONISHA SHARMA NAND KISHOR SHARMA PAN SHOP 6 NO. WARD 40000 8 8618118 KANCHAN DEVI BHATTAR NARAYAN PRASAD BHATTAR BUSINESS 6 NO. WARD 20000 8 75 78 119 8761457 DAMAYNTI DEVI BAHETI NANDA KISHORE BAHETI BUSINESS 6 NO. WARD 50000 2 94 466 25 9169552 MANJU DEVI ROUT PRODIP ROUT BUSINESS 6 NO. WARD 40000 4 88 307 9363228 MAMTA SHARMA MURILAL SHARMA PRIEST 6 NO. WARD 50000 5 164 14A 9512201 KANTA DEVI BAHETI MOTI LAL BAHETI SERVICE 6 NO. WARD 85000 4 92 406 68 97 SUMITA DEVI SHETIA NIMI CH. SHETHIA BUSINESS 6 NO. WARD 20000 7

39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 9914750 SUBHADRA DEVI SHARMA VIRENDRA KR. SHARMA BUSINESS 6 NO. WARD 120000 5 101 KAMAL CHANDAK OM PRAKASH CHANDAK BUSINESS 6 NO. WARD 30000 6 10261982 TARA DEVI OM PRAKASH SHARMA BUSINESS 6 NO. WARD 100000 7 10461454 KANTA DEVI TIWARI OM PRAKASH TIWARI BUSINESS 6 NO. WARD 10000 7 114 114 28B 105 SUMAN DEVI NARAYAN DAS DAMANI BUSINESS 6 NO. WARD 40000 6 10663246 DALGOT KOUR PABINDRA SINGH BUSINESS 6 NO. WARD 75000 4 96 96 148 1074782 SAMPATI DEVI RANDHAR PURNAMAL RANDHAR BUSINESS 6 NO. WARD 30000 7 120 1105 186 10914670 REKHA DEVI NAURATAN SHARMA BUSINESS 6 NO. WARD 46000 3 11114695 SUNITA EVI SHARMA NATHNAL SHARMA SERVICE 6 NO. WARD 80000 5 11497246 MANISH KOUR NARENDRA SINGH SERVICE 6 NO. WARD 40000 9 133 133 115 NARYANI SHARMA OM PRAKASH SHARMA SERVICE 6 NO. WARD 10000 6 16614724 SUSHILA BAID MANAK CH. BAID BUSINESS 6 NO. WARD 50000 5 92 372 31 12018746 RAGNI BHANSALI MONOJ KR. BANSALI BUSINESS 6 NO. WARD 80000 3 934 811 21 12318216 RENU PATNI RAJESH PATNI SERVICE 6 NO. WARD 100000 3 12461793 ASHA DEVI MAHANTA PUNAM CH. SHARMA BUSINESS 6 NO. WARD 100000 6 92 696 55 127 SUMITRA KAUR MANGAL SINGH BUSINESS 6 NO. WARD 30000 8 12960655 GITA DEVI SHARMA MAHAVIR SHARMA BUSINESS 6 NO. WARD 20000 9 95 1 13 13161329 SANGITA RATHI MOHESH KR. RATHI BUSINESS 6 NO. WARD 60000 5 92 13214713 KIRAN DEVI PAREEK MOHESH KR. PAREEK BUSINESS 6 NO. WARD 40000 7 92 703 55 13460518 SONU DEVI SHARMA RAJENDRA SHARMA SERVICE 6 NO. WARD 60000 5 13518221 SUMAN DEVI RADHE SHYAM PAREEK BUSINESS 6 NO. WARD 85000 7 94 94 295 13714393 KIRAN DEVISHARMA PURUSOTOM LAL SHARMA BUSINESS 6 NO. WARD 20000 6 119 659 57B 141 GOMTI BAHETI GHANASHYAM BAHETI BUSINESS 6 NO. WARD 10000 7

62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 14714719 KAUITA BAID RAJ KR. BAID BUSINESS 6 NO. WARD 50000 6 92 371 31 14918209 ARUNI DAS RAJEN DAS BUSINESS 6 NO. WARD 30000 6 1 15252108 SEEMA DAHYAM RAJENDRA KR. DAHYAM BUSINESS 6 NO. WARD 80000 4 155 NEELAM AGARWALA SURESH KR. AGARWAL BUSINESS 6 NO. WARD 20000 4 94 64 159 TARA DEVI SHARMA SURYA PRAKASH SHARMA SERVICE 6 NO. WARD 80000 4 16214602 BASANTI DEVI SONI DINESH CH. SONI SERVICE 6 NO. WARD 90000 6 118 814 161238 RITA AHMED LT. KUTUBUDIN AHMED SERVICE 6 NO. WARD 40000 2 4 399 16361965 RAMI DEVI DIPARAM CHOUDHARY SERVICE 6 NO. WARD 35000 4 16414735 BIMALA DEVI SHARMA ARINDRA KR. SHARMA BUSINESS 6 NO. WARD 30000 6 16663154 SARITA DEVI DILIP MANDAL BUSINESS 6 NO. WARD 35000 8 16518277 RUKHAYA BEGUM SHAMIR HUSSAIN BUSINESS 6 NO. WARD 40000 7 95 95 4 16761981 GUMTI DEVI SHARMA SHIUA BHAGU SHARMA SERVICE 6 NO. WARD 50000 5 170 DIPA KATHARI DUNGAMAL KATHARI SERVICE 6 NO. WARD 40000 9 17261358 MANAKUWAR DEVI ASAWA BANI GOPAL ASAWA SERVICE 6 NO. WARD 30000 6 93 9 17418207 PREM JAIN BIMAL KR. JAIN SERVICE 6 NO. WARD 10000 4 98 643 175 SAMPALI DEVI AMRIT SINGH CHAU SERVICE 6 NO. WARD 20000 5 181 CHAHAT LOHIA BAJRANG LOHIA SERVICE 6 NO. WARD 30000 1 18214688 KESHAN DEVI BUCHA BAJRANG LAL BUCHA SERVICE 6 NO. WARD 85000 5 95 95 20 183 VINITA GOYENKAR BAJRANG LAL GOYENKAR TAILOR 6 NO. WARD 30000 6 18414511 SITA DEVI SHARWAN KR. SONI SERVICE 6 NO. WARD 25000 9 92 92 41 201209 ARSI DAS SWAPAM DAS TAILOR 6 NO. WARD 20000 6 80 120 97 20412235 RITA DAS BIMAL DAS TAILOR 6 NO. WARD 28000 7 84 17 20761461 PUSPA DEVI SONI SUSHIL KR. SONI BUSINESS 6 NO. WARD 20000 5

85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 20914734 MANJU DEVI SONI MANAK CH. SONI BUSINESS 6 NO. WARD 21000 16 92 662 59A 210 NCHA CHOUDHARY BHARAT CHOUDHARY BUSINESS 6 NO. WARD 10000 6 21114666 REYTI DEVI JITENDRA KUMAR KUNDALIYA BUSINESS 6 NO. WARD 20000 4 212864 SUSHILA DEVI BAJAJ SATYA NARAYAN BAJAJ BUSINESS 6 NO. WARD 20000 1 6 21314740 ANANTI DEVI SHARMA SHIV DAYAL SHARMA BUSINESS 6 NO. WARD 60000 3 1020 645 215 SUMAN CHAHAR BHAGAWAN SINGH CHAHAR BUSINESS 6 NO. WARD 10000 6 22061002 ANJU DEVI BAHETI GANESH PD. BAHETI BUSINESS 6 NO. WARD 10000 13 92 763 221 VINTA JANIN VIMAL KR. JAIN BUSINESS 6 NO. WARD 10000 9 223 LALITA DEVI SHARMA SHYAM SUNDOR SHARMA PROFESAR 6 NO. WARD 70000 6 96 22518749 UMA GITANJALI BANSALI BINOD KR. BANSALI BUSINESS 6 NO. WARD 50000 7 934 413 21 226 SUNITA DEVI LOHIA VINOD KR. LOHIA BUSINESS 6 NO. WARD 60000 4 228 UMA DEVI OM PRAKASH SHARMA BUSINESS 6 NO. WARD 100000 3 97 100 846 231 ANITA DEVI JAIN SUBHAS CH. JAIN BUSINESS 6 NO. WARD 1200000 4 96 392 232 BIDYA KUMARI PINCHA BUSINESS 6 NO. WARD 12000 10 23461345 LUTFIA KHANNA BUSINESS 6 NO. WARD 35000 4 248 37 23512200 BIMALA DEVI PAREEK DWARAKA PD. PAREEK BUSINESS 6 NO. WARD 25000 5 23714700 SILA SARKAR AJIT CH SARKAR BUSINESS 6 NO. WARD 40000 4 93 747 209 23812234 CHANDRA KALA BAJAJ SHYAM SUNDOR BAJAJ BUSINESS 6 NO. WARD 30000 5 93 95 11 23962213 PURMA DEVI FEEFA RAM CHOUDHARY BUSINESS 6 NO. WARD 95000 5 746 243 SWATI RATHI GOPILAN LAL RATHI BUSINESS 6 NO. WARD 10000 4 24561934 PUSWA DEVI LOHIA RAM LOHIA BUSINESS 6 NO. WARD 85000 8 24861328 KASHAR NARPAT SINGH BUSINESS 6 NO. WARD 42000 6 24914566 GITA DEVI MANIK CH. SHARMA BUSINESS 6 NO. WARD 40000 4 13

108 25014662 KAMAL AGARWAL BANWARI AGARWAL BUSINESS 6 NO. WARD 48000 6

SELECT LIST OF ELIGIBLE HOUSEHOLD UNDER NFSA 2013 Anneexure - V Name of LAC : 98 JORHAT Name of District :JORHAT Name of Sub-Division :JORHAT Name of Village/Municipal/Town ward : 5no.ward Targeted Population : 25 No. & Name of Gaon Panchayat JORHAT : MUNICIPALITY Name of Development Block : JORHAT MUNICIPALITY Name of Revenue Circle EAST : & WEST Name of GPSS/WCCS: Name of nearest Fair Price Shop Dealer M. : R. BORBORA Sl. No. Proforma -C & Check list registration No. Card No. of existing FIC Holders or mention new applicant Type of F.I.Card (for BPL/MMASY/A PL card holders) only Name of Women applicant (Under NFSA) Father's/Husband's Name Occupation of the head of Address Annual Total no. of As per recent voter list of Assembly the family as per Profoma-C family family Election income members declared PS No. SI. No. House No. Name of Agent 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1-64 C.NO.13 64 RAFIKA BEGUM ABU AHMED SIDDIQURI BUSINESS 6 NO. WARD 30000 3 269 39 M. R. BORBORA 2-11 C.NO.91 11 SALEMA BEGUM SELF HOUSW WIFE 6 NO. WARD 15000 9 93 667 59 M. R. BORBORA 3-95 C.NO-26 95 MANJU BEGUM SELF FAMAILY PENSONER 6 NO. WARD 10000 4 659 54 M. R. BORBORA 4-13 C.NO-50 13 SUMITRA SHARMA BISHNULAL SHARMA PRIVATE SERVICE 6 NO. WARD 36000 9 565 M. R. BORBORA 5-21 C.NO-38 21 RUMI BEGUM SELF WORKER 6 NO. WARD 2000 1 95 271 39 M. R. BORBORA 6-96 C.NO-103 96 NILOFA AHMED SELF HOUSW WIFE 6 NO. WARD 12000 4 99 715 137 M. R. BORBORA 7-10-- C.NO-60 10 JAHIRUL HAQUE BORBORA SELF HOUSW WIFE 6 NO. WARD 60000 5 95 63 7 M. R. BORBORA 8-61506C.NO-4 61506 SAFIA KHATUN RAJA MASUD AHMED BUSINESS 6 NO. WARD 8000 3 95 34 152 M. R. BORBORA 9-61501 C.NO-51 61501 JAHANA ARA BEGUM SAFIKUDDIN AHMED BUSINESS 6 NO. WARD 60000 4 93 41 M. R. BORBORA 10-64 2 MOMINA BEGUM JAFRI AHMED BUSINESS 6 NO. WARD 12000 4 162 125 M. R. BORBORA 11-20 61502 JULFIRA AHMAED NASIRUDIN AHMED BUSINESS 6 NO. WARD 50000 2 93 41 M. R. BORBORA 12-98 -29 AUHALYA DEVI CHANRA DEV THAKUR BARBAR 6 NO. WARD 20000 4 M. R. BORBORA 13 96-22 IQBAL HUSSAIN SELF BUSINESS 6 NO. WARD 72000 6 95 756 M. R. BORBORA 14-84 -58 KARUNA SAHA HORI GUPAL SAHA BUSINESS 6 NO. WARD 60000 4 91 697 218A M. R. BORBORA 15 93-32 TOHIDUR RAHMAN SELF PRIVATE SERVICE 6 NO. WARD 60000 5 21 276 M. R. BORBORA 16-53 -63 JAHANA ARA BEGUM AMMANULLAH HUSSAIN BUSINESS 6 NO. WARD 48000 2 95 756 69 M. R. BORBORA 17 77-61508 URMILA DEVI GANESH SAHA BUSINESS 6 NO. WARD 15000 4 M. R. BORBORA 18 MMASY986210 988210 MMASY TARA MONI BEGUM ABDUL ALI DAILY WORKER 6 NO. WARD 15000 2 245 37 M. R. BORBORA 19 MMASY 98215 988215 MMASY PARBIN SULTANA BEGUM IDRISH ALI BUSINESS 6 NO. WARD 24000 2 78 408 M. R. BORBORA 20 MMASY 988211 988211 MMASY FIROJA BEGUM LT. MUHIBUR RAHMAN DAILY WORKER 6 NO. WARD 800 1 92 446 31 M. R. BORBORA 21 MMASY988212 988212 MMASY IRA BEGUM LT. KHALILULLAH HUSSAIN DAILY WORKER 6 NO. WARD 10000 3 95 749 M. R. BORBORA 22 MMASY988209 988209 MMASY RINA SHARMA SAGARMAL SHARMA DAILY WORKER 6 NO. WARD 13000 8 M. R. BORBORA 23 MMASY988219 988219 MMASY ASHEDA AHMED LT. KAIMUDDIN AHMED DAILY WORKER 6 NO. WARD 12000 5 M. R. BORBORA 24 MMASY988213 988213 MMASY RANJU DEVI SHARMA RAM KISHOR SHARMA DAILY WORKER 6 NO. WARD 12000 6 M. R. BORBORA 25 MMASY988217 988217 MMASY SAHIDA BEGUM HAFIZA BILLAL AHMED SERVICE 6 NO. WARD 14000 4 M. R. BORBORA