Fair Price Shop Registration


FPS/07/11/3131
1. Status of FPS ORIGINAL FPS CODE : 1204W041
2. Name of District JAGATSINGHPUR 3. Block/ULB JAGATSINGHPUR
4. Type of License WSHG 4.(A) Name of ( WSHG) TRINATH WSHG
5. Name of License Holder SCRY TRINATH WSHG 5.(A) Address for Correspondence ODISSO TRIPATHY SAHI
5.(B) Mobile No. 9439496098 5.(C)Designation SECRETARY
6. Location of Original FPS
GP KHAIRANGA Village ODISAGARH Hamlet TRIPATHYSAHI
6.(a) Availability Of Electricity in FPS Yes
7. License No. 20/201112 7.(B) Valid upto March,2016
8. Card Type Rice Wheat Sugar KOil
AAY 0 0 0
BPL 37 37 37
Annapurna 0
APL 140 140
Differently Able Person 0
BPL/AAY For Poor Leftout
9. Sub Wholesaler(for Kerosene Oil) Name : Smt. Binapani Das
10. Distance in km from the location of
Sub Wholesaler /Wholesaler : 8.00
Block/ULB Head Quarter : 9.00
11. Is the FPS accessible by four wheeler  ?
Yes     
Declaration : I hereby declare that all the particulars furnished in this application are correct to the best of my knowledge. I shall be held responsible for any incorrect information.
District JAGATSINGHPUR Block/ULB JAGATSINGHPUR
FPS/07/11/3131
FPS Code 1204W041 Name of WSHG TRINATH WSHG
Received above details from concerned FPS Dealer for necessary action.
Signature of Receiving Authority : _____________________________ Date :____________________