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<tr> <td class="ACKNO" align="center"> <span id="Label21">????,?????? ??????? ????? ??????? ??????? ?? ?????</span> </td> </tr> <tr> <td class="ACKNO" align="center"> <span id="Label22">??? ????? ???????? ?????</span> </td> </tr> </table> <table width="80%" style="font-family: Verdana; font-size: 9pt;" border= "1" id="tbl_Main" cellpadding="0" cellspacing="0"> <tr> <td class="ACKNO" style="width: 200px;" colspan="1" align="left" > <span id="lblACKNOlbl">Receipt No</span> </td> <td class="ACKNO" colspan="1" align="left"> <span id="lblAckId">1347179</span> </td> <td class="ACKNO" colspan="1" align="left"> <span id="lblACKDATElbl">Receipt Date</span> </td> <td class="ACKNO" colspan="1" align="left"> <span id="lblAckDate">25/12/2011</span> </td> <td rowspan="3" align="right"> <img id="imgPhoto" height="80" width="60" /> </td> </tr> <tr> <td class="ACKNO" align="left" colspan="1"> <span id="lblPlaceOfResidence">Place of Residence</span> </td> <td class="ACKNO" align="left" colspan="3"> <span id="lblLocation">Urban/IRA</span> </td> </tr> <tr> <td class="ACKNO" align="left"> <span id="lblDistrict">District</span> </td> <td class="ACKNO" align="left"> <span id="lblDistrictV">BANGALORE</span> </td> <td class="ACKNO" align="left"> <span id="lblTaluk">Taluk</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="lblTalukV">BANGALORE WEST(IRA)</span> </td> </tr> <tr id="tr_City">

<td class="ACKNO" <span </td> <td class="ACKNO" <span </td> <td class="ACKNO" <span </td> <td class="ACKNO" <span </td> </tr>

align="left" colspan="1"> id="lblCity">City</span> align="left"> id="txtCity">BANGALORE IRA WEST</span> align="left"> id="lblWardNo">Ward No</span> align="left" colspan="2"> id="txtWardNo">133</span>

<tr> <td align="center" colspan="5"> <br /> <div> </div> </td> </tr> <tr> <td align="left"> <span id="lblCardType">Card Type Applying For</span> </td> <td align="left" colspan="4"> <span id="lblCardTypeV">Above Poverty Line</span> </td> </tr> <tr> <td class="ACKNO" align="left" colspan="1"> <span id="lblHaveRRNo">Do you have Electricity Connection?</ span> </td> <td class="ACKNO" align="left" colspan="4"> <span id="lblRRYesNo">Yes</span> </td> </tr> <tr id="tr_rr_dist"> <td class="ACKNO" align="left" colspan="1"> <span id="lblRRDistrict">District</span> / <span id="lblRRTaluk">Taluk</span> /<span id="lblRRCircleName">ESCOM Circle Code</span> </td> <td class="ACKNO" align="left" colspan="4"> <span id="lblRRDistrictV">BANGALORE</span> / <span id="lblRRTalukV"></span> / <span id="lblRRCircleNameV"></span>

</td> </tr> <tr id="tr_RR"> <td class="ACKNO" align="left" colspan="1"> <span id="lblLocCode">Location Code</span> </td> <td class="ACKNO" align="left"> <span id="txtRRLocCode">1110302</span> </td> <td class="ACKNO" align="left"> <span id="lblRRNo">R R No</span> </td> <td class="ACKNO" align="left" colspan="2"> <span id="txtRRNumber">N1EH16566</span> </td> </tr> <tr> <td align="left" style="width: 200px;"> <span id="lblMeterAmt">If you share electricity bill with an other family, then your average monthly share in rupees</span> </td> <td align="left" colspan="4"> <span id="txtMeterAmt">0</span> </td> </tr> </table> <table width="80%" border="1" cellpadding="0" cellspacing="0" style="fon t-family: Verdana; font-size: 9pt;"> <tr> <td colspan="4"> <div> </div> </td> </tr> <tr> <td class="ACKNO" align="left" colspan="1"> <span id="lblNameOfApplicant">Name of the Applicant</span> </td> <td class="ACKNO" align="left" colspan="4"> <span id="txtApplicantName">B Nagaraju</span> </td> </tr> <tr> <td class="ACKNO" colspan="1" align="left"> <span id="lblResiAddress">Residence Address</span> <br /> <span id="lblResiPinCode">PIN</span> </td> <td class="ACKNO" colspan="1" align="left"> <span id="txtResiAddress">#830/26 "Pragna",8th Main,4th B Cr oss,Hampinagar,Vijayanagar 2nd Stage,Bangalore-40</span> <br /> <span id="txtResiPinCode">560040</span>

</td> <td class="ACKNO" colspan="1" align="left"> <span id="lblOffAddress">Office Address</span> <br /> <span id="lblOffPinCode">PIN</span> </td> <td class="ACKNO" colspan="2" align="left"> <span id="txtOffAddress">State Bank of Mysore, Vyalikaval Branch, Malleshwaram</span> <br /> <span id="txtOffPinCode">560003</span> </td> </tr> <tr> <td align="left"> <span id="lblLandmark">Landmark</span> </td> <td colspan="1" align="left"> <span id="txtLandmark">Near Adichunchungiri Girls Hostel</sp an> </td> <td align="left"> <span id="lblYearsOfStay">Since how many years you are resid ing in the address?</span> </td> <td align="left" colspan="1"> <span id="txtYearsOfStay">8.00</span> </td> </tr> <tr> <td class="ACKNO" align="left" colspan="1"> <span id="lblLandPhoneNo">LandLine Phone No</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="txtLandPhoneNo">23115296</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="lblMobileNo">Mobile No</span> </td> <td class="ACKNO" align="left" colspan="2"> <span id="txtMobileNo">9880913600</span> </td> </tr> <tr> <td class="ACKNO" align="left" colspan="1"> <span id="lblDOB">Date of Birth (dd/mm/yyyy)</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="txtDOB">01/04/1958</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="lblYearOfBirth">Year of Birth (yyyy)</span> </td> <td class="ACKNO" align="left" colspan="2"> <span id="txtYearofBirth">0</span> </td> </tr> <tr> <td class="ACKNO" align="left" colspan="1">

<span id="lblGenderlbl">Gender</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="lblGender">Male</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="lblUID">Aadhar No</span> </td> <td class="ACKNO" align="left" colspan="2"> <span id="txtUID"></span> </td> </tr> <tr> <td class="ACKNO" align="left" colspan="1"> <span id="lblEmail">E - mail</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="txtEmail">rohitbnag@gmail.com</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="lblOccupation">Employment</span> </td> <td class="ACKNO" align="left" colspan="2"> <span id="lblOccupationV">PUBLIC SECTOR EMPLOYEE</span> </td> </tr> <tr> <td class="ACKNO" align="left" colspan="1"> <span id="lblResiTypelbl">Residence Type</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="lblResiType">Own</span> </td> <td align="left"> </td> <td align="left" colspan="2"> </td> </tr> <tr> <td class="ACKNO" align="left" colspan="1"> <span id="lblMaritalStatus">Marital Status</span> </td> <td class="ACKNO" align="left" colspan="4"> <span id="lblMaritalStatusV">Married</span> </td> </tr> <tr id="tr_StayWithFamily"> <td align="left"> <span id="lblStayWithFamily">Do you stay with your Family?</ span> </td> <td colspan="4" align="left"> <span id="lblStayWithFamilyV">Yes</span>

</td> </tr>

</table> <table width="80%" style="font-family: Verdana; font-size: 9pt;"> <tr> <td class="ACKNO"> <br /> <div> <table cellspacing="0" rules="all" border="1" id="gvMemberDetails" style ="font-family:Verdana;font-size:9pt;width:100%;border-collapse:collapse;"> <caption> Family Member Details </caption><tr> <th scope="col">Name</th><th scope="col">Date of Birth ( dd/mm/yyyy)</th><th scope="col">Year of Birth (yyyy)</th><th scope="col">Gender< /th><th scope="col">Relation</th><th scope="col">Employment</th><th scope="col"> Aadhar No</th><th align="left" scope="col">&nbsp;</th> </tr><tr> <td>B V Meena Kumari</td><td>31/12/1963</td><td>0</td><t d>Female</td><td>Wife</td><td>GOVERNMENT EMPLOYEE</td><td>&nbsp;</td><td> <img id="Image1" src="getOnlinePhoto.aspx?ty pe=MbrPhoto&AckId=1347179&MbrId=1" style="width: 40px; height: 50px;" alt="" /> </td> </tr><tr> <td>Rohit B Nag</td><td>17/08/1988</td><td>0</td><td>Mal e</td><td>Son</td><td>PRIVATE EMPLOYEE</td><td>&nbsp;</td><td> <img id="Image1" src="getOnlinePhoto.aspx?ty pe=MbrPhoto&AckId=1347179&MbrId=2" style="width: 40px; height: 50px;" alt="" /> </td> </tr><tr> <td>Jyothi B Nag</td><td>22/10/1993</td><td>0</td><td>Fe male</td><td>Daughter</td><td>STUDENT</td><td>&nbsp;</td><td> <img id="Image1" src="getOnlinePhoto.aspx?ty pe=MbrPhoto&AckId=1347179&MbrId=3" style="width: 40px; height: 50px;" alt="" /> </td> </tr> </table> </div> </td> </tr> </table> <table id="tbl_Other" style="font-family: Verdana; font-size: 9pt;" widt h="80%" border="1" cellpadding="0" cellspacing="0"> <tr> <td class="ACKNO" colspan="4"> <br /> <span id="lblOTHDetails">Other Details</span> </td> </tr> <tr> <td class="ACKNO" align="left"> <span id="lblFamilyIncome">Total Annual Income of the Family (from all sources) (in Rs.)</span> </td>

<td class="ACKNO" align="left"> <span id="txtFamilyIncome">500000</span> </td> <td class="ACKNO" align="left"> <span id="lblPanNo">Income Tax Pan Card No </span> </td> <td class="ACKNO" align="left"> <span id="txtPANNo"></span> </td> </tr> <tr> <td class="ACKNO" align="left"> <span id="lblHaveLPGConnection">LPG connection is available? </span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="lblLPGYesNo">Yes</span> </td> <td class="ACKNO" align="left"> <span id="lblLPGNeed">Do you need LPGConnection?</span> </td> <td class="ACKNO" align="left" colspan="1"> <span id="lblLPGNeedV">No</span> </td> </tr> <tr> <td class="ACKNO" colspan="4"> <div> <table cellspacing="0" rules="all" border="1" id="gvLPGD etails" style="font-family:Verdana;font-size:9pt;width:100%;border-collapse:coll apse;"> <caption> LPG Details </caption><tr> <th scope="col">Company</th><th scope="c ol">Distributor</th><th scope="col">Consumer No</th><th scope="col">Consumer Nam e</th> </tr><tr> <td>IOC</td><td>KALPANA INDANE GAS AGENC Y</td><td>26853</td><td>Nagaraju B</td> </tr> </table> </div> </td> </tr> <tr> <td class="ACKNO" align="left"> <span id="lblRequestTypelbl">Reasons to Apply for Ration Car d</span> </td> <td class="ACKNO" colspan="3" align="left"> <span id="lblRequestType">No Ration Card for my Family</span > </td> </tr> <tr> <td class="ACKNO" colspan="1" align="left">

<span id="lblRemarks">Remarks</span> </td> <td class="ACKNO" colspan="3" align="left"> <span id="txtRemarks">Please communicate through mail in cas e of any clarification</span> </td> </tr> </table> <table width="80%" style="font-family: Verdana; font-size: 9pt;" cellpad ding="0" cellspacing="0" border="1"> <tr> <td class="ACKNO"> <table width="100%"> <tr> <td class="ACKNO" align="left"> <span id="Label25" style="font-weight:bold;">??? ??</span> </td> </tr> <tr> <td class="ACKNO" align="left"> <span id="Label26">???? ? ???? ????????????????< /span> </td> </tr> <tr> <td class="ACKNO" align="left"> <span id="Label27">?)???? ????????????? ???? ??? ? ??????? ?????? ?????? ????????????? ????? ????????????? ???? ???????? ???????? ????? ????? ???? ??????????????. ???? ?????????? </span> &nbsp;<span id="lblYearsOfStayV" style="text-dec oration:underline;">8.00</span>&nbsp; <span id="Label2"> ???????? ???????????????.</sp an> </td> </tr> <tr> <td class="ACKNO" align="left"> <span id="Label32">?)???? ??????? ?????? ?????? ???????? ???????? ????? ????????? ?????? ???????? ?????????????.</span> </td> </tr> <tr> <td class="ACKNO" align="left"> <span id="Label34">?)????? ???????? ???? ??????? ????? ??????? ???? ?? </span> <span id="lblInfoFamilyIncome">500000</span> <span id="Label48">???????? ???? ??????????????? ???. </span> </td> </tr> <tr> <td class="ACKNO" align="left"> <span id="Label35">?)? ?????????? ??????? ?????? ?? ???? ????? ??????? ????????? ????? ??????????.</span> </td> </tr> <tr>

<td class="ACKNO" align="left"> <span id="Label36">?)???? ?????????? ??????? ??? ????? ????? ???? ???? ??????? ???? ????? ?????? ???? ????? ???? ???????? ??????? ???? ?????? ???.???.??.32 ?????77 ?? 23.09.1977 ???? ???? ??? ?????? ???????? ???? ??????? ???? ??????????????? ?????????????.</span> </td> </tr> <tr> <td class="ACKNO" align="left"> <br /> <br /> <table width="100%"> <tr> <td colspan="3"> <table width="100%" cellpadding="0" cellspacing="0"> <tr> <td class="ACKNO" style="wid th: 65px;" colspan="1" align="left"> <span id="Label39">????? ? : </span> </td> <td class="ACKNO" colspan="2 "> <span id="lblDate">25/12 /2011</span> </td> <td colspan="1" align="cente r"> </td> </tr> </table> </td> </tr> <tr> <td> <table width="100%" cellpadding="0" cellspacing="0"> <tr> <td class="ACKNO" style="wid th: 65px;" align="left"> <span id="Label42">???? : </span> </td> <td class="ACKNO" align="lef t"> <span id="lblPlace">BANG ALORE IRA WEST</span> </td> <td class="ACKNO" align="rig ht"> <span id="Label37">????? ???? ???</span> </td> </tr> </table> </td> </tr> </table>

</td> </tr> </table> </td> </tr> </table> <table> <tr> <td class="ACKNO"> <input type="submit" name="BtnPrint" value="Print" onclick=" return Print();" id="BtnPrint" style="width:75px;" /> <input type="submit" name="BtnExit" value="Exit" id="BtnExit " style="width:75px;" /> </td> </tr> </table> </center> </form> </body> </html>

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