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Village: H.SODANAPALLI
AWAPB5905F STATE BANK OF INDIA NARPALA SBIN0002766 30959359080 self 4.Employee Residential Address 3-47 M P P SCHOOL , MANGAPATNAM MANGAPATNAM VILLAGE ANANTAPUR
01
S. No. Relationship
Name
Aadhar Number
Disability
Husband
K SURYANARAYANA REDDY
Male
27-08-1975
954112625447
No
Mother
K RAMANAMMA
Female
06-02-1971
481005653345
No
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Allowances
S.No Allowance Amount/Per Values Type centage No Details are Found Periodicity
Deductions
S.No Deduc Sancti Sancti Sancti tion on on oned Descri Date Ref. Amou ption Dd/m No nt m/yyy y EHS --0 Contri bution Loan No First Month Adjust ment Amou nt 0 Total Intere Intere Instal Recov Deduc Policy Sum Amou Date Recov no of st st ment ery tion Numb Assur nt of of ery Instal Instal Rate Amou Start Amou er ed Montl Last Start ments ments nt MM/Y nt y Install Month YYY Premi ment / Year um 0 0 0 0 -- 0 90 -0 0 --- 0
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DECLARATION*
The above information is true to the best of my knowledge. I agree to share details of self and family with Government of Andhra Pradesh. I am aware that declaration of wrong details will entail disciplinary action against me
__________________ Employee's Signature Date: __________________ DDO's Signature Date:
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