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ćĐƄȐņ˜Đæ
Part A

èǥľƔȉƺɯȉ s lakshmi narayana éƕŹɊæ

ąæƳŒėĘĈĐŏƈǁɯȉ venkataih ˜ŲɊæ 9182477099

Secretariat name : RPSTREET Volunteer 21005024011

Cluster id :

Beneficiary Id : 122808234HID1161397

Part B ( ơĒæǕŹƔřƝ

êæƱĊƍŁʼöķėřƚĔȇ

a. øğĘƺƝŏĄƢ÷îĄøőǭą

èȂčĔȇʼöķėřƚĔȇ

b.ĒƽʼnƔȉƺ
a.ĒƽʼnƔȉǻ èȍȂƃȀ èȍȂƃȀ c.êąȉȋ èȍȂƃȀ
ʼöķơĐȐȋ

(3) 2(b) ɷö2(c) èǀĉˌ inspection ėĎďȇˣèȂčĔȇˣìĉŊĔŐƧ͉DžĔĐȇȋ

a.Claimant ɯȉ c.éƕŹɊæ

b.ąæƳŒėĘĈĐŏƈǁɯȉ d.˜ŲɊæ

e.Claimant ɯȉǣćɹɵøğĘȇ ìĉŊƔèƺDžĔĐȇȋˇĐøĒȉ ìæƸɷȀ

éLjņDžĔĐȇȋ

a. øğĘȇìĉŊƸɷȀ c.éLjņèɘɘŏæũɊæìæƸɷȀìĉŊˌ

b.DžȀŐŮƢ÷öɊĶŲɊæ d.˓ŹɊæ

Claimant ėæąöæ ơĒæǕŹėæąöæ

Part C (VRO ƔřƝ

1.Document available with the beneficiary: Possession Certificate (For loan data

prepopulated, for other seek details)

ȪƿʼöķėřƚĔȇ ƧőæćɆǃƻĉơƱˣóöƱðæǴˇæƳ
ƅőĎöæāȇ ĊŒȆąřȪƿ

ɋ͇ŕɹũȪƿ 4. Objectionable ʷĐæ˝ǯʷĐæ˝ǯėřƚĔæBBBBBBBBB

ȪƿDžĔĐȇȋ

A.ėɵřėæ÷Ő D.ìąņĐæĘȀň

B.ȢȉŋĘȀň E.ćƧśĄæĘȀň

C.ĊĂĎĐĘȀň

(4)Part B (3) ĊŒƃĐȇêæƱ ʼöķèȂčĔȇˣìƖŊơȉơĐȐȋɷöêąȉȋèǀɪƧőæć

ɆǃƻĉơǁƅƺƝʼnǁȐņƖŊȂ ąȀĊǁDžƈĐĄèĔėĐȇ

(4)(1) D form ɷöƺɹĕĉėŇĒDžöőďƛȉŋʣȂˉȋDžĔĐȇȋ

èėȋĊĀŁƔȉĒƽʼnƔȉƺƧD
èȂčơƔȉǻʣȂˉȋɠLjĉ
form ɷöƺɹĕĉĊąœȇêƬļĉ
ėæĔąŜĐȇ
ėæĔąŜĐȇ

DžƈĐĄýǁƻĉąȉơą èȂčơƔȉƺDžĔĐȇȋøĎƺöèȂčĔƔȉǻʣȂˉȋƔřƝ

ĔƬļĉĀŗǀɪʣȂˉȋɠLjĉ ơǁƧĎɑöķƏɹɵĊƃķøğĘȇìæĂƝȀĎǁȈèƱŁʣȂˉȋèėȋĒƽʼn

ƔȉƺȂæƳƳƘĐæĊƍŁɷö ƺɹĕĉėŇĒĊąœȇĎæȚȉɠLjĉėæĔąŜĐȇĒąȉơąýǁƩìæƏǃ

a.èȂčĔƔȉƺɯȉ C.éƕŹɊæ

b.ąæƳŒėĘĈĐŏƈǁɯȉ d.˜ŲɊæ

VRO ėæąöæ
Part D êæýǞǁæšèLjɘŁæũƔřƝ

ʻąņæėŇĒæ B.ėŇĒæʣĒąȋ
ʷĂȍ
øƊĒˣ èǻDZĒˣ
a.DžǬņĐŅȇ
čĔĉæûćĐȃ
ɕĂȋŋ
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êæýǞǁæšèLjɘŁæũ ėæąöæ