Dec-18 Num Wheth Travel Ber Whether Er Mal Total Cost of Aid Subsi Cost Paid Board and of Ration Card Income Date on Any Acco SL

Dec-18 Num Wheth Travel Ber Whether Er Mal Total Cost of Aid Subsi Cost Paid Board and of Ration Card Income Date on Any Acco SL

SWAMI VIVEKANAND NATIONAL INSTITUTE OF REHABILITATION TRAINING AND RESEARCH OLATPUR,BAIRIOI, CUTTACK (ODISHA) DISTRIBUTION CAMP CONDUCTED AT MAHANGA, ODISHA ON 16.12.2018 Month: Dec-18 Num wheth Travel ber whether er Mal Total cost of Aid Subsi cost paid Board and of Ration Card Income Date on any acco SL. Name of Complete Ag e/F Type of Aid including dy to lodging Total of Days No./Voter ID Photo of (PER which surgical mpani Contact No. NO. beneficiary Address e em (given) fabrication/fitmen Provi outstation expenses 10+11+12+13 for No./Aadhar Beneficiary ANUM) given correction ed by ale t charges ded beneficiar paid whic card Nol. undertaken escor y h stay t 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 C/O DHOI MALLICK AT PODMARI PO ALIARA PS RATNAKAR Aadhar Number 1 PODAMANI DIST 75Y M 42000 TRICYCLE & PAC-40 10,438.00 100% 0 0 0 10,438.00 0 No MALLICK CUTTACK Collected 16.12.2018 9668816817 C/O- DAMBARUDHAR SETHI AT BAISHNAB CH. Aadhar Number 2 JHADESWAR PO 63Y M 42000 TRICYCLE & PAC-40 10,438.00 100% 0 0 0 10,438.00 0 No - SETHI UMAR PS Collected JHADESWAR DIST 16.12.2018 CUTTACK C/O- PANCHANAN BEHERA AT SUKHUAPADA PO BHAGYASHREE Aadhar Number 3 GOKANA PS 25Y F 42000 TRICYCLE 8,400.00 100% 0 0 0 8,400.00 0 No BEHERA MAHANGA DIST Collected 16.12.2018 CUTTACK 9937306049 C/O JAGABANDHU BEHERA Aadhar Number 4 USHALATA BEHERA 75Y F 42000 PAC-40 2,038.00 100% 0 0 0 2,038.00 0 No Collected 16.12.2018 C/O SATRUGHNA DAS AT KUHUDA PS MAHANGA DIST TRICYCLE AND PAC- Aadhar Number 5 SANJIT KU. DAS CUTTACK 23Y M 42000 10,438.00 100% 0 0 0 10,438.00 0 No 40 Collected 16.12.2018 6370241449 Page 1 of 3 Num wheth Travel ber whether er Mal Total cost of Aid Subsi cost paid Board and of Ration Card Income Date on any acco SL. Name of Complete Ag e/F Type of Aid including dy to lodging Total of Days No./Voter ID Photo of (PER which surgical mpani Contact No. NO. beneficiary Address e em (given) fabrication/fitmen Provi outstation expenses 10+11+12+13 for No./Aadhar Beneficiary ANUM) given correction ed by ale t charges ded beneficiar paid whic card Nol. undertaken escor y h stay t 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 C/O JHARI GADAI AT PODAMARAI DSIT CUTTACK TRICYCLE AND PAC- Aadhar Number 6 DHULI GARAI 65Y M 42000 10,438.00 100% 0 0 0 10,438.00 0 No - 40 Collected 16.12.2018 C/O MANORANJAN BISWAL AT KUANPAL PO JANMAJAYA TRICYCLE AND PAC- Aadhar Number 7 ADAMANESWPUR 12Y M 42000 10,438.00 100% 0 0 0 10,438.00 0 No - BISWAL DIST CUTTACK 40 Collected 16.12.2018 C/O SANJIT MALLICK AT GARATUNGA PS BRAJA KISHOR Aadhar Number 8 MAHANGA DIST 42Y M 42000 BLIND STICK 603.00 100% 0 0 0 603.00 0 No - MALLICK CUTTACK Collected 16.12.2018 C/O GANGADHAR SAHU AT MANIJARI PO GOKAN PS TRICYCLE AND PAC- Aadhar Number 9 NARAHARI SAHU MAHANGA DIST 42Y M 42000 10,438.00 100% 0 0 0 10,438.00 0 No - CUTTACK 40 Collected 16.12.2018 C/O DUKHEI PRUSTY AT SINDHUPUR PO BILASH KUMAR TRICYCLE AND PAC- Aadhar Number 10 PODAMARI PS 40Y M 42000 10,438.00 100% 0 0 0 10,438.00 0 No PRUSTY MAHANGA DIST 40 Collected CUTTACK 16.12.2018 C/O AT SAEM PO OLAKANA PS MAHANGA DIST Aadhar Number 11 SAI SANKAR DAS CUTTACK 06Y M 42000 WHEEL CHAIR CHILD 7,200.00 100% 0 0 0 7,200.00 0 No Collected 16.12.2018 Page 2 of 3 Num wheth Travel ber whether er Mal Total cost of Aid Subsi cost paid Board and of Ration Card Income Date on any acco SL. Name of Complete Ag e/F Type of Aid including dy to lodging Total of Days No./Voter ID Photo of (PER which surgical mpani Contact No. NO. beneficiary Address e em (given) fabrication/fitmen Provi outstation expenses 10+11+12+13 for No./Aadhar Beneficiary ANUM) given correction ed by ale t charges ded beneficiar paid whic card Nol. undertaken escor y h stay t 1 2 3 4 5 6 7 8 9 10 11 12 13 14 ed15 16 17 18 19 C/O PRASANTA DAS AT HALADIA PO HALDIA PS Aadhar Number 12 GAGAN DAS MAHANGA DIST 84Y M 42000 TRICYCLE 8,400.00 100% 0 0 0 8,400.00 0 No CUTTACK Collected 16.12.2018 C/O EKKA JENA AT KUSUPUR PS MAHANGA DIST Aadhar Number 13 UDHAV JENA CUTTACK 52Y M 42000 TRICYCLE 8,400.00 100% 0 0 0 8,400.00 0 No Collected 16.12.2018 C/O GITANJALI PRADHAN AT GOBINDPUR PO RAMESH CH. Aadhar Number 14 SAHANAJPUR PS 54Y M 42000 TRICYCLE 8,400.00 100% 0 0 0 8,400.00 0 No PRADHAN MAHANGA DIST Collected 16.12.2018 CUTTACK 9178281057 C/O MADHAB CH. GOCHAYAT AT RAGHUNATH KRUSHNA CH. Aadhar Number 15 NAYAK PS 33Y M 42000 TRICYCLE 8,400.00 100% 0 0 0 8,400.00 0 No GOCHAYAT MAHANGA DIST Collected 16.12.2018 CUTTACK 8018364661 C/O BISWANATH SETHY AT PODAMARAI PO Aadhar Number 16 SANTOSH SETHY PODAMARAI PS 36Y M 42000 TRICYCLE 8,400.00 100% 0 0 0 8,400.00 0 No MAHANGA DIST Collected CUTTACK 16.12.2018 C/O CHANDRAMANI SETHY AT Aadhar Number 17 JOGENDRA SETHY PODAMARAI PO 55Y M 42000 TRICYCLE 8,400.00 100% 0 0 0 8,400.00 0 No PODAMARAI PS Collected MAHANGA DIST 16.12.2018 CUTTACK TOTAL… 1,41,707.00 - - 1,41,707.00 Page 3 of 3.

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