Government of the People's Republic of Bangladesh
Department of Social Services
Ministry of Social Welfare
Upazila City Social Service Office
Data Collection Form for Senior Allowance Men Program
Financial year: 2019-2020
LIST OF FINAL OLD AGE BENEFICIARIES (COMPLETE)
Union: Gobindpur, Upazila: Dupchanchia, District: Bogra, Ward: 01
serial no
Elderly Person's Name (Banglao English)
Name of father/husband
mother's name
Name of village/village
date of birth
religion
National Identity Card/Birth Registration No
gender
occupation
Number of family members
Average annual income
Amount of land
Completed partially functional/functional disabled
Whether receiving any other regular financial benefits provided by the government
opinion
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
1
Md Nowsher Ali
MD: Nouser Ali
Deceased - Azim Uddin Bepari
Deceased - Rahima Bibi
Amshutt
22-01-1952
Islam
1013340639069
Puramnash
agriculture
04
1200/-
no
disabled
no
2
Md. Hafizar Rahman
Md: Hafizar Ra,
Dead - Hayet Ali
Dead - Jobeda
amshott
12-10-1954
Islam
1013340684138
Puramnash
agriculture
05
1500/-
no
disabled
no
3
Md. Belal Hossain
Md: Balal Hossain,
Deceased - Mayez Uddin
Dead - Amena
Majinda
01-06-1952
Islam
1013340661230
Puramnash
agriculture
03
2000/-
no
disabled
no
4
Md. Javed Ali Prang
Md: Jabed Ali p,k
Deceased - Mumtaz Uddin Prang
Deceased - Sakimon
amshott
30-11-1953
Islam
1013340660875
Puramnash
agriculture
04
2000/-
no
disabled
no
5
this time
Abarot
Dead - Siraj
dead- bella
Majinda
01-06-1953
Islam
1013340661300
Puramnash
agriculture
03
2000/-
no
disabled
no
6
Md. Abdul Gafur Tang
MD: Abdul Gofur
Deceased - Riaz Uddin
Dead - Fourchan
amshott
31-12-1950
Islam
1013340634191
Puramnash
agriculture
03
1200/-
no
disabled
no
7
Rambaran Mohammad
Mr. Ram Baron Mohant
Deceased - Nagendra Nath Mohmatm
Deceased - Menka Rani Mohammad
amshott
01-01-1930
traditional
10133406666204
Puramnash
agriculture
05
1500/-
no
disabled
no
Government of the People's Republic of Bangladesh
Department of Social Services
Ministry of Social Welfare
Upazila City Social Service Office
Data Collection Form for Elderly Allowance Women Program
Financial year: 2019-2020
LIST OF RECIPIENTS OF LAST OLD-AGE ALLOWANCE (WOMEN)
Union: Gobindpur, Upazila: Dupchanchia, District: Bogra, Ward: 01
serial no
Elderly Person's Name (Banglao English)
Name of father/husband
mother's name
Name of village/village
date of birth
religion
National identity card
/ Birth Registration No
gender
occupation
Number of family members
Average annual income
Amount of land
Completed partially functional/functional disabled
Whether receiving any other regular financial benefits provided by the government
opinion
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
8
Deleted: Zahera Bibi
Mst: Zahera Bibi
Deceased - Ashim Uddin
Dead - Zayda
the fox
06-08-1943
Islam
1013340661493
woman
housewife
04
1200/-
no
disabled
no
9
Deleted: Rahima Bibi
Mst: Ranima Bibi
Deceased - Afaz Uddin
Dead - Chobeda
Majinda
08-12-1951
Islam
1013340663220
woman
housewife
05
2500/-
no
disabled
no
10
Mrs. Malti Burman
Sreemoti Maloti
Deceased - Dinabandhu
Dead-Malati Bala
amshott
14-07-1950
traditional
1013340684482
woman
housewife
04
1500/-
no
disabled
no
11
Deleted: Masuda Bibi
Mst: Masuda Bibi
Deceased - Motahar Hossain
Dead - Zaheda
Majinda
06-06-1951
Islam
1013340663244
woman
housewife
04
1600/-
no
disabled
no
12
Mocha: Achia Bibi
Mst: Asiya Bibi
Deceased - Ashim Uddin
Dead drunk
Majinda
03-04-1950
Islam
1013340663209
woman
housewife
03
1800/-
no
disabled
no
13
Mocha: Chahiron necha
Mst: Soiron Nasa
Md. Maqbul Hossain
Deleted
the fox
06-02-1950
Islam
1013340661557
woman
housewife
03
2000/-
no
disabled
no
14
Shusheela Devya
Sosila Debba
Deceased- Rajendra Sarkar
Dead-lucky
amshott
02-04-1945
traditional
1013340666295
woman
housewife
05
1600/-
no
disabled
no
15
Deleted: Rahima Akhter
Mst: Rahima Akthar
Deceased - Jasim Uddin
Dead - Iron BB
amshott
01-03-1955
Islam
101334063919173
woman
housewife
05
1500/-
no
disabled
no
Planning and Implementation: Cabinet Division, A2I, BCC, DoICT and BASIS