Professional Documents
Culture Documents
Proforma D
Proforma D
STATEMENT SHOWING THE PARTICULARS OF NAVASAKAM RICE CARDS NOT DISTRIBUTION REASON-WISE
Total No. of No. of NSRCs not distributed due to
S.NO. NAME OF THE MANDAL NSRCs cannot be Perma nent
distributed Death Duplicates Bogus Others (specify)
Migration
10
11
12
WISE
Remarks
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head of Address Mob no Old Ration card no New Ration Card no Reason (Death/ Remarks
Card holder family Permanent
Migration/
Duplicate/ Bogus/
others -specify)
SHE BELONGS TO
BELONGS KOTHAPALLI-2
1 Shaik Zaharabi KOTHAPALLI-2 BOTH 2 PERSONS SECRETARIAT
7893043975 YAP118300800271 2801627423
DIED BOUNDARIES
SECRETARIAT
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head Address Mob no Old Ration card no New Ration Card
of Card holder no
family
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head of Address Mob no Old Ration card New Ration Card no
Card holder no
family
Pottigari
Venkata JAP113101
3 Subbamma 9703981598 2803526382
000069
D
– Reason Details
PERSONS SHIFTED TO
PRODDUTUR AND RICE
DRAWN AT PRODDUTUR
SHOP:1182019
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head Address Mob no Old Ration card no New Ration Card no
of Card holder
family
Barinepalli
4 9052074971 WAP114700100353 2805454916
Manjula
D
Reason Details
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head of Address Mob no Old Ration card no New Ration Card
Card holder family no
Signature of Volu
Reason (Death/ Remarks
Permanent
Migration/
Duplicate/
Bogus/ others
-specify)
NOT TRACED
AND NON
DRAWN RICE
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head of Card Address Mob no Old Ration card no
holder family
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head Address Mob no Old Ration card no
of Card holder
family
Budde
7 7386728993 WAP114801900106
Lakshmidevi
roforma - D
ice Cards – Reason Details
PERSONS SHIFTED TO
2809269197 VEERABALLI AND RICE DRAWN
AT SHOP NO 1138019
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head of Card holder family Address Mob no Old Ration card no
PERSONS SHIFTED
TO VEERABALLI
2809986586
AND RICE DRAWN
AT SHOP NO 1138029
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head of Card Address Mob no Old Ration card no New Ration
holder family Card no
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head of Card Address Mob no Old Ration card no
holder family
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head Address Mob no Old Ration card no New Ration
of Card holder Card no
family
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head of Card Address Mob no Old Ration card no New Ration
holder family Card no
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head Address Mob no Old Ration card no New Ration
of Card holder Card no
family
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Address Mob no Old Ration card no New Ration Card Reason (Death/
Head of no Permanent
Card Migration/
holder Duplicate/ Bogus/
family others -specify)
Signature of Volunteer:
Remarks
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head of Address Mob no Old Ration card no New Ration Card
Card holder family no
PERSONS SHIFTED TO
RAMAPURAM AND
RICE DRAWN AT SHOP
NO 1137034
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head of Address Mob no Old Ration card no New Ration Card
Card holder family no
Signature of Volunteer:
Proforma - D
Undistributed Rice Cards – Reason Details
Name of Mandal: RAYACHOTY ULB
Name of Secretariat: KOTHAAPETA STREET
Secretariat ID: 1121019
Cluster ID:
Name of Volunteer:
Mob no of Volunteer:
Sl no Name of Head Address Mob no Old Ration card no New Ration
of Card holder Card no
family
SURRENDOR OF RICE
CARD (GOVT
PENSIONAR)
Signature of Volunteer: