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App Atabur

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mahantaraj072
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7 views1 page

App Atabur

Uploaded by

mahantaraj072
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM

A UP/222 2e23/p22 3
AppiicatiOn date
Farmer Name
la beer Rahman2
Father/Husband Name Aogi mir Lotchin
Gender
Mode
Date of Birth
01/01/ 1961
District Name
ogapn
Block
Rupali
Village Name Ha'pora
House No

Contact No 6002467785
Email ld

Pin code 782003


Category: BC/ General/ OBC / SC/ ST

Total area of Land in Ha or B1gha

Whether subsia availed under Micro ir: gation under PMKSY or any Gove nment cnene ES/

Land Information:

DagNo Patta No Area in Ha or Bigha


ha
Crop intormation:
MIArea in Ha or Bigha
Crop Type CropName

Crop wisa Total r e a (elig ble for subsidy

Source of Water: Well T-weil/ Tank / Canal/ no water source

Bank Details
Bank Name:

330780?8 58
Account No

Branch Name HaULo a o n


IFSC Code:

Voter iD No
Bm545384
Vendor Selection:

L ip (Wic: Space Clos: Soace


ype of System 3ppihed tur
Port: bte Spr ki:t (6 m mr}.

Countersigned by

Signature af the Beneficiary


Aga. Development Oficer
Nangadhuwa Circle

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