1/17/12
web1.kar.nic.in/rconline/rc_acknowledgement.aspx?ACKID=1018996&TY
1/2web1.kar.nic.in/rconline/rc_acknowledgement.aspx?ACKID=1018996&TY
,
Receip No 1018996ReceipDa e
13/12/2011
Place of Re idence U ban/IRA
Di ic BANGALORE Tal kBANGALORENORTH
CiBANGALORENORTH TOWN
Wa d No 41
Ca d T pe Appl ing Fo Abo e Po e Line
Do o ha e Elec iciConnec ion?
Ye
Di ic / Tal k /ESCOM Ci cleCode
BANGALORE / /
Loca ion Code 1110401 R R No PNLG79998
If o ha e elec ici bill i hano he famil , hen oa e age mon hl ha
e in
pee
0
Name of heApplican
Mohan K ma M R
Re idenceAdd e PIN
c/o T M Pand anga pillai,#14 5 h c oRajgopalnaga a Lagge e
560058
Office Add e PIN 0
Landma kBehind Rajgopal naga police
a ion
Since ho man eao a e e iding in he
add e ?2.00
LandLinePhone No
0 Mobile No 9845309917
Da e of Bi h(dd/mm/ )
16/08/1983 Yea of Bi h ( ) 1983
Gende Male Aadha No
E - mail Emplo menPRIVATEEMPLOYEE
Re idenceT pe
Ren / Lea e / O he Ren Amo n (in R .) 1500
Ma i al S a Single
Add e ofPa en /Famil
c/o T M Pand anga pillai, #14 5 h c o Rajgopalnaga a Lagge
eBangalo e 560058
Famil Membe De ail
NameDate of Birth
(dd/mm/ )
Year ofBirth
( )Gender Relation Emplo ment
AadharNo
Ki anM R
02/10/1987 1987 MaleYo ngeB o he
PRIVATEEMPLOYEE
O he De ail
To al Ann al Income of he Famil (f om allo ce ) (in R .)
15000Income Ta Pan Ca dNo
LPG connec ion i a ailable? NoDo o needLPGConnec ion?
No
Rea on o Appl fo Ra ion Ca d No Ra ion Ca d fo m Famil
Rema k
