A B C D E F G H I J K L M N O P Q R S T 1 Annexure - III 2 NATIONAL INSTITUTE FOR THE MENTALLY HANDICAPPED, SECUNDERABAD 3 Register to be maintained by the agencies implementing the scheme of 4 Assistance to disabled for Purchase / fitting of Aids / Appliances -distributed at AP - on 3/1/2016 S. No. Whether Travel any No of Fabricati Subsid Board and Whether Type of Date on Total Cost surgical / Days Signature Cost of on/ y Lodging accompani Name of Beneficiary Address Sex Age Income Aid which Cost Paid to Out Correctio Total for of Caste Aid Fitment Provide Expenses ed by (given) given of aid Station n which Beneficiary Charges d Paid Escort Beneficiary Undertak stayed 5 en 1 Samithi office road, Thumb Sk.Karemulla M 16Y 600 KIT - 2 3/1/2016 9330 - _ ------Yes BC Atmakur mandal Impression 7 2 Machavaram village, Thumb K Nagamani F 11Y 1000 KIT - 3 3/1/2016 8653 - _ ------Yes SC Ozili mandal Impression 8 3 Thumb T Devi Ozili Mandal F 11Y 1000 KIT - 3 3/1/2016 8653 - _ ------Yes ST Impression 9 4 Thumb T. Divya Yellore (V & P), mandalF 17 Y 1500 KIT - 4 3/1/2016 10327 - _ ------Yes SC Impression 10 5 Ondurugunta, Atmakur Thumb Sd Chandini F 13Y 833 KIT - 3 3/1/2016 8653 - _ ------Yes BC mandal Impression 11 6 Thumb B Mouli J.R.Pet, Atmakur mandal M 12Y 1300 KIT - 3 3/1/2016 8653 - _ ------Yes BC Impression 12 7 Kit-4 Thumb Cheepinapi Veneeth Kummara Veedhi, Alluru M 1500 3/1/2016 10327 - _ ------Yes BC Impression 13 (M), SPSR, Nellore Dt. 17 8 S/o N. Suresh Babu, Kit-4 Thumb Notem Teja 20/7/679, Vigneshwara M 1333 3/1/2016 10327 - _ ------Yes BC Impression 14 Puram, Rajendra Nagar, 14 9 S/o G. Srinivasa Rao, Kit-4 Thumb Goramatla Mahitha 4/198, Kaveri Nagar, F 5000 3/1/2016 10327 - _ ------Yes OC Impression 15 Kothur (V), Nellore Dt. 16 10 D/o Paramjyothi, 7-9- Kit-4 Thumb Ingilela Sweeti 938, 48th Ward H&V, F 1333 3/1/2016 10327 - _ ------Yes SC Impression 16 Nellore Urban, Nellore 17 11 Thumb P Anil Ozili Mandal M 11Y 2000 KIT - 2 3/1/2016 9330 - _ ------Yes SC Impression 17 12 Thumb Sd Nayab Rasool Udayagiri M 14Y 1000 KIT - 2 3/1/2016 9330 - _ ------Yes OC Impression 18 A B C D E F G H I J K L M N O P Q R S T S. No. Whether Travel any No of Fabricati Subsid Board and Whether Type of Date on Total Cost surgical / Days Signature Cost of on/ y Lodging accompani Name of Beneficiary Address Sex Age Income Aid which Cost Paid to Out Correctio Total for of Caste Aid Fitment Provide Expenses ed by (given) given of aid Station n which Beneficiary Charges d Paid Escort Beneficiary Undertak stayed 5 en 13 Sankranthipalli, Thumb B Manasa F 10Y 1100 KIT - 2 3/1/2016 9330 - _ ------Yes BC mandal Impression 19 14 Thumb P. Venkatesh Tadakaluru (V & P) M 10Y 3000 KIT - 3 3/1/2016 8653 - _ ------Yes SC Impression 20 15 Thumb RAVITEJANARASANAIDUPALLI M 14Y 1000 KIT - 3 3/1/2016 8653 - _ ------Yes SC Impression 21 16 Kadiyalapalem, Rapur Thumb Sk Hazeerbhanu F 6Y 1200 KIT - 1 3/1/2016 7090 - _ ------Yes BC mandal Impression 22 17 Thumb T Padmaja Pandipadu, A.S.Peta mandalF 7y 3833 KIT - 2 3/1/2016 9330 - _ ------Yes BC Impression 23 18 Thumb Gudali Devishree sai charan sullurpet M 6 Y 3000 KIT - 1 3/1/2016 7090 - _ ------Yes OC Impression 24 19 Thumb S Mani Tejaswini Kota cross road, Kota F 6Y 1600 KIT - 2 3/1/2016 9330 - _ ------Yes SC Impression 25 20 Kondayapalli (V&P), Thumb Sk.Hussain Basha M 6Y 750 KIT - 1 3/1/2016 7090 - _ ------Yes BC Udayagiri mandal Impression 26 21 Thumb K. Kamakshi Lingayapalem (V), BrahmadevamF 12 (P), Y Muthukur1000 KIT mandal - 3 3/1/2016 8653 - _ ------Yes BC Impression 27 22 Venkateswarapuram, Thumb Sk Sharukh Khan M 15Y 700 KIT - 4 3/1/2016 10327 - _ ------Yes BC Nellore mandal Impression 28 23 Batwadipalem, Nellore Thumb S Sharonjoy F 8Y 3000 KIT - 3 3/1/2016 8653 - _ ------Yes BC Mandal Impression 29 24 Kallurupalli Village, Thumb K Suneel M 12Y 500 KIT - 2 3/1/2016 9330 - _ ------Yes OC Nellore Mandal Impression 30 25 Venkateswarapuram, Thumb G Jeevani F 8Y KIT - 1 3/1/2016 7090 - _ ------Yes BC Nellore mandal Impression 31 A B C D E F G H I J K L M N O P Q R S T S. No. Whether Travel any No of Fabricati Subsid Board and Whether Type of Date on Total Cost surgical / Days Signature Cost of on/ y Lodging accompani Name of Beneficiary Address Sex Age Income Aid which Cost Paid to Out Correctio Total for of Caste Aid Fitment Provide Expenses ed by (given) given of aid Station n which Beneficiary Charges d Paid Escort Beneficiary Undertak stayed 5 en 26 Mosque street, Thumb Ch Revanth Kumar Venkateswara puram, M 16Y 1000 KIT - 3 3/1/2016 8653 - _ ------Yes SC Impression 32 Nellore 27 Venkateswarapuram, Thumb P Sujitha F 15Y KIT - 2 3/1/2016 9330 - _ ------Yes BC Nellore mandal Impression 33 28 s/o Venkata Ramana, Thumb G. Balaji kadiyayavaripalli, NTR M 8Y 1500 KIT - 1 3/1/2016 7090 - _ ------Yes OC Impression 34 colony, Nellore 29 baspallem, , Thumb N.Guruchnadu M 8Y 1666 KIT - 1 3/1/2016 7090 - _ ------Yes BC Nellore Impression 35 30 S/o Pullaiah, Thumb Bapan Syam Ammapalem,Venkatagiri, M 8Y KIT - 1 3/1/2016 7090 - _ ------Yes BC Impression 36 Nellore 1250 31 Petlur, Venkatagiri, Thumb B. Vennela F 11Y KIT - 1 3/1/2016 7090 - _ ------Yes OC Nellore Impression 37 1250 32 Thumb Sk. Abeed Dasaripalli, AppasamudramM (V), Udayagiri17 Y 1000 MandalKIT - 4 3/1/2016 10327 - _ ------Yes BC Impression 40 33 Yeddalapalli Thumb Nagarajapuram, sullurpet M 12 Y 3000 KIT - 3 3/1/2016 8653 - _ ------Yes BC Hemanth Impression 41 34 ANKUPALLI SIVA Thumb VELEKALLU, MandalF 15y 1E+05 KIT - 4 3/1/2016 10327 - _ ------Yes SC KUMARI Impression 42 35 Thumb E Haritha Pottapudi, T.P. (M) F 13Y 1200 KIT - 4 3/1/2016 10327 - _ ------Yes SC Impression 43 36 Thumb A Anitha Yekollu, D.V.Satram F 18Y 1500 KIT - 4 3/1/2016 10327 - _ ------Yes BC Impression 44 37 S/o late Ibrahim, Thumb Sk. Nannu Venkateshwarapuram, M 14Y KIT - 4 3/1/2016 10327 - _ ------Yes BC Impression 47 nellore 3300 38 D/o Subbaiah, Thumb P.Subhashini Chembedu, , F 13Y KIT - 1 3/1/2016 7090 - _ ------Yes SC Impression 48 Nellore 1500 A B C D E F G H I J K L M N O P Q R S T S. No. Whether Travel any No of Fabricati Subsid Board and Whether Type of Date on Total Cost surgical / Days Signature Cost of on/ y Lodging accompani Name of Beneficiary Address Sex Age Income Aid which Cost Paid to Out Correctio Total for of Caste Aid Fitment Provide Expenses ed by (given) given of aid Station n which Beneficiary Charges d Paid Escort Beneficiary Undertak stayed 5 en 39 S/o parasuram naidu, Thumb T. Gnanendra Chintapudi Village, M 11Y KIT - 3 3/1/2016 8653 - _ ------Yes OC Impression 49 Pellakur, Nellore 4100 40 S/o Sudhakar, Thumb K.Ashok Chintapudi Village, M 11Y KIT - 2 3/1/2016 9330 - _ ------Yes SC Impression 50 Pellakur, Nellore 3800 41 Thumb P. Jaya Surya Postal colony, Nellore M 8 Y 1200 KIT - 3 3/1/2016 8653 - _ ------Yes BC Impression 51 42 Thumb Sk. Mahaboob Basha Stove Beedi Colony, Kovur M 17 Y 1000 KIT - 4 3/1/2016 10327 - _ ------Yes BC Impression 52 43 Thumb Sk. Humayun 22nd ward, Gudur M 18 Y 1500 KIT - 3 3/1/2016 8653 - _ ------Yes BC Impression 53 44 Thumb Sk. Nazima 22nd ward, Gudur F 17 Y 1000 KIT - 3 3/1/2016 8653 - _ ------Yes BC Impression 54 45 Natam Harika S/o Prasad, 19/390, F 11 5000 Kit-3 - _ ------Thumb Yes Komati Street, Krishna 3/1/2016 8653 Impression 55 Mandiram, Nellore SC 46 S/o Srinivasulu, H.No.4-16- 833 Kit-1 - _ ------Thumb Yes 102, Sanjeev Gandhi Impression 3/1/2016 7090 Colony, nayudupeta, 56 S.Prasad Nellore M 7 BC 47 1500 Kit-4 - _ ------Thumb Yes D/o Subrahamanyam, 3-1- Impression 3/1/2016 10327 205, Chakali Veedhi, Near 57 Yallani Sravani Mahalaxmi Temple, Nellore F 17 BC 48 S/o Khaza Rasool, 25-2- Kit-4 - _ ------Thumb Yes S.Inthiyaz 1532, 2nd Street, M 3333 3/1/2016 10327 Impression BC 61 Pragathi Nagar, Nellore 18 49 M.Mahesh S/o M.Rosaiah, Guntha M 20 1250 Kit-4 - _ ------Thumb Yes BC Bazar, Duttaluru, V &M , 3/1/2016 10327 Impression 62 Nellore 50 K.Manohar S/o P.Venkata M 20 916 Kit-4 - _ ------Thumb Yes SC Subbaiah, Budanam, 3/1/2016 10327 Impression 64 A B C D E F G H I J K L M N O P Q R S T S. No. Whether Travel any No of Fabricati Subsid Board and Whether Type of Date on Total Cost surgical / Days Signature Cost of on/ y Lodging accompani Name of Beneficiary Address Sex Age Income Aid which Cost Paid to Out Correctio Total for of Caste Aid Fitment Provide Expenses ed by (given) given of aid Station n which Beneficiary Charges d Paid Escort Beneficiary Undertak stayed 5 en 51 Kit-4 - _ ------Thumb Yes BC K.Shantamma D/o Govindu, T.C.Palem, F 1250 3/1/2016 10327 Impression 67 Bogole (M), Nellore 13 52 D/o Bagyalaxmi, Kit-4 - _ ------Thumb Yes BC Narapalle, Impression L.Srilatha F 750 3/1/2016 10327 Nallacheruvupalle(V), 68 Vemula (M), Kadapa 18 53 S/o Peramalla Kumar, 11- Kit-4 ------Thumb Yes BC Peram Malla(VTS 20-62, Ashok Nagar, Impression M 16.66 3/1/2016 10327 Kumar) East Gudur, Gudur, 69 Nellore 23 54 Velagalammagunta, Thumb J Vengalaiah M 4Y 3000 KIT - 1 4/1/2016 7090 - _ ------Yes ST mandal Impression 70 55 Thumb K Satwik Ozili mandal M 5Y 2000 KIT - 2 4/1/2016 9330 - _ ------Yes SC Impression 71 56 Thumb M.Anusha sriharipuram (v), F 13Y 833 KIT - 2 4/1/2016 9330 - _ ------Yes BC Impression 73 57 SAVARAPU Thumb MORPUR CROSS ROAD, DakkiliM 10Y mandal1000 KIT - 2 4/1/2016 9330 - _ ------Yes OC SOMASEKHAR Impression 75 58 Thumb G Malleswari Chutti, Balayapalli mandal F 10y 1333 KIT - 3 4/1/2016 8653 - _ ------Yes BC Impression 76 59 DAVANM Thumb KANDALAVARIPALLI, DakkiliM Mandal12y 833 KIT - 3 4/1/2016 8653 - _ ------Yes OC SRINIVASULU Impression 77 60 D/o srinivasulu, Pappulaveedi, d.No.6- Thumb Patalam Kalyani F 14 Y KIT - 4 4/1/2016 10327 - _ ------Yes OC 201, Stevenam peta, Impression 78 Nellore 1216 61 S/o Venkata Ramanaiah, Thumb Y. Dayakar Mannemala Village, M 16Y 1333 KIT - 3 4/1/2016 8653 - _ ------Yes BC Impression 80 Chittamur Mandal,