Strengthening Women’s Ability for Productive New Opportunities Local Government Division, MoLGRD&C Interview Format for Beneficiaries Selection SL Candidate ID Candidate Name Age Group Ward no Cell no Marital Status Minimum HH Income Diseases in Last One Year Education Willingness to work in Garments Willingness to Work for Public works Receive any other Govt./Private Project Aid if Yes,Which one State Potential Candidate (✔/✖) Selected from Lottery (✔/✖)
1 40812 মোছাঃ রুপালী 40 Enterprise & IGA Group 4 01788218106 disable husband 0-4999 No Yes No Selected
2 40816 ছাদেকা বেগম 33 Enterprise & IGA Group 1 01796082448 disable husband 0-4999 No Yes No Selected
3 40820 মোছাঃ শরিফা বেগম 42 Enterprise & IGA Group 4 01788018252 widow 0-4999 No Yes No Selected
4 40831 মৌসুমী আক্তার 21 Employment Group 1 01957471749 disable husband 0-4999 No class 6-8 Yes Yes No Selected
5 40838 লাকী বেগম 39 Enterprise & IGA Group 7 01328701613 disable husband 0-4999 No Yes No Selected
6 40850 সুমি আক্তার 22 Employment Group 1 01779878913 disable husband 0-4999 No class 5 Yes Yes No Selected
7 40854 মারুফা আক্তার 24 Employment Group 4 01705025248 disable husband 0-4999 No class 6-8 Yes Yes No Selected
8 40874 মোছাঃ মোতাহারা বেগম 38 Enterprise & IGA Group 7 01792877815 disable husband 0-4999 No Yes No Selected
9 40915 মোছাঃ মোমেনা 36 Enterprise & IGA Group 4 01704864654 disable husband 0-4999 No Yes No Selected
10 41021 মোছাঃ আজিমা বেগম 28 Employment Group 7 01733803698 abandoned husband 0-4999 No class 5 Yes Yes No Selected
11 41026 মোছাঃ মোর্শেদা বেগম 43 Enterprise & IGA Group 2 01751063575 disable husband 0-4999 No Yes No Selected
12 41030 রুপালী 33 Enterprise & IGA Group 7 01762058955 disable husband 0-4999 No Yes No Selected
13 41056 কুলছুম বানু 39 Enterprise & IGA Group 5 01731482251 widow 0-4999 No Yes No Selected
14 41070 গোলশেনারা 36 Enterprise & IGA Group 8 01315044351 abandoned husband 0-4999 No Yes No Selected
15 41071 মোছাঃ আতোয়ারা বেগম 41 Enterprise & IGA Group 2 01996481192 disable husband 0-4999 No Yes No Selected
16 41085 তছকিনা খাতুন 26 Employment Group 5 01944368858 disable husband 0-4999 No class 5 Yes Yes No Selected
17 41087 মনোয়ারা 43 Enterprise & IGA Group 8 01315142400 widow 0-4999 No Yes No Selected
18 41105 মোঃ হামিদা বেগম 38 Enterprise & IGA Group 2 01751063575 widow 0-4999 No Yes No Selected
19 41115 এছমোতারা 21 Employment Group 2 01334754037 divorcee 0-4999 No class 5 Yes Yes No Selected
20 41135 রাহেদা 39 Enterprise & IGA Group 8 01737068667 disable husband 0-4999 No Yes No Selected
21 41142 অজিফা বেগম 34 Enterprise & IGA Group 8 01953850490 widow 0-4999 No Yes No Selected
22 41156 বিউটি বেগম 34 Enterprise & IGA Group 5 01795022399 disable husband 0-4999 No Yes No Selected
23 41162 মোছাঃ আফরুজা বেগম 26 Employment Group 9 01760982929 disable husband 0-4999 No class 5 Yes Yes No Selected
24 41166 মুক্তা রানী রায় 26 Enterprise & IGA Group 5 01706803375 disable husband 0-4999 No class 5 No Yes No Selected
25 41188 মোছাঃ নার্গিসর্গি আক্তার 27 Employment Group 6 01762977099 disable husband 0-4999 No class 5 Yes Yes No Selected
26 41191 মরুফা বেগম 34 Enterprise & IGA Group 1 01755482682 abandoned husband 0-4999 No Yes No Selected Address Name of Interviewer: Signature Page: From ________To________ Union: Golmunda 1: ______________________ Date: Upazilla: Jaldhaka 2: ______________________ District: Nilphamari 3: ______________________ SL Candidate ID Candidate Name Age Group Ward no Cell no Marital Status Minimum HH Income Diseases in Last One Year Education Willingness to work in Garments Willingness to Work for Public works Receive any other Govt./Private Project Aid if Yes,Which one State Potential Candidate (✔/✖) Selected from Lottery (✔/✖)
27 41200 সুবা রানী 38 Enterprise & IGA Group 9 01877644192 disable husband 0-4999 No Yes No Selected
28 41202 করিমোন বেগম 42 Enterprise & IGA Group 6 01782206777 disable husband 0-4999 No Yes No Selected
29 41203 শরিফা 28 Employment Group 9 01735764169 disable husband 0-4999 No class 5 Yes Yes No Selected
30 41207 পারুল 40 Enterprise & IGA Group 6 01787311746 disable husband 0-4999 No Yes No Selected
31 41220 আলেমা 38 Enterprise & IGA Group 6 01311872746 abandoned husband 0-4999 No Yes No Selected
32 41230 মোছাঃ ফিরোজা 35 Enterprise & IGA Group 3 01754307478 disable husband 0-4999 No Yes No Selected
33 41248 আছিরন নেছা 40 Enterprise & IGA Group 9 01735445707 widow 0-4999 No Yes No Selected
34 41257 ইসমোতারা 33 Enterprise & IGA Group 3 01764945947 disable husband 0-4999 No Yes No Selected
35 41262 মোছাঃ হাসিনা বানু 43 Enterprise & IGA Group 3 01722542530 disable husband 0-4999 No Yes No Selected
36 41271 মোছাঃ জোসনা বেগম 39 Enterprise & IGA Group 3 01319167522 disable husband 0-4999 No Yes No Selected Copy to: UP File Approved by: _____________________ Representaitve from UNDP (UP Chairman) Date: _____________________ (UP Official Seal)
Strengthening Women’s Ability for Productive New Opportunities Local Government Division, MoLGRD&C Interview Format for Beneficiaries Selection SL Candidate ID Candidate Name Age Group Ward no Cell no Marital Status Minimum HH Income Diseases in Last One Year Education Willingness to work in Garments Willingness to Work for Public works Receive any other Govt./Private Project Aid if Yes,Which one State Potential Candidate (✔/✖) Selected from Lottery (✔/✖)
1 40812 মোছাঃ রুপালী 40 Enterprise & IGA Group 4 01788218106 disable husband 0-4999 No Yes No Selected
2 40816 ছাদেকা বেগম 33 Enterprise & IGA Group 1 01796082448 disable husband 0-4999 No Yes No Selected
3 40820 মোছাঃ শরিফা বেগম 42 Enterprise & IGA Group 4 01788018252 widow 0-4999 No Yes No Selected
4 40831 মৌসুমী আক্তার 21 Employment Group 1 01957471749 disable husband 0-4999 No class 6-8 Yes Yes No Selected
5 40838 লাকী বেগম 39 Enterprise & IGA Group 7 01328701613 disable husband 0-4999 No Yes No Selected
6 40850 সুমি আক্তার 22 Employment Group 1 01779878913 disable husband 0-4999 No class 5 Yes Yes No Selected
7 40854 মারুফা আক্তার 24 Employment Group 4 01705025248 disable husband 0-4999 No class 6-8 Yes Yes No Selected
8 40874 মোছাঃ মোতাহারা বেগম 38 Enterprise & IGA Group 7 01792877815 disable husband 0-4999 No Yes No Selected
9 40915 মোছাঃ মোমেনা 36 Enterprise & IGA Group 4 01704864654 disable husband 0-4999 No Yes No Selected
10 41021 মোছাঃ আজিমা বেগম 28 Employment Group 7 01733803698 abandoned husband 0-4999 No class 5 Yes Yes No Selected
11 41026 মোছাঃ মোর্শেদা বেগম 43 Enterprise & IGA Group 2 01751063575 disable husband 0-4999 No Yes No Selected
12 41030 রুপালী 33 Enterprise & IGA Group 7 01762058955 disable husband 0-4999 No Yes No Selected
13 41056 কুলছুম বানু 39 Enterprise & IGA Group 5 01731482251 widow 0-4999 No Yes No Selected
14 41070 গোলশেনারা 36 Enterprise & IGA Group 8 01315044351 abandoned husband 0-4999 No Yes No Selected
15 41071 মোছাঃ আতোয়ারা বেগম 41 Enterprise & IGA Group 2 01996481192 disable husband 0-4999 No Yes No Selected
16 41085 তছকিনা খাতুন 26 Employment Group 5 01944368858 disable husband 0-4999 No class 5 Yes Yes No Selected
17 41087 মনোয়ারা 43 Enterprise & IGA Group 8 01315142400 widow 0-4999 No Yes No Selected
18 41105 মোঃ হামিদা বেগম 38 Enterprise & IGA Group 2 01751063575 widow 0-4999 No Yes No Selected
19 41115 এছমোতারা 21 Employment Group 2 01334754037 divorcee 0-4999 No class 5 Yes Yes No Selected
20 41135 রাহেদা 39 Enterprise & IGA Group 8 01737068667 disable husband 0-4999 No Yes No Selected
21 41142 অজিফা বেগম 34 Enterprise & IGA Group 8 01953850490 widow 0-4999 No Yes No Selected
22 41156 বিউটি বেগম 34 Enterprise & IGA Group 5 01795022399 disable husband 0-4999 No Yes No Selected
23 41162 মোছাঃ আফরুজা বেগম 26 Employment Group 9 01760982929 disable husband 0-4999 No class 5 Yes Yes No Selected
24 41166 মুক্তা রানী রায় 26 Enterprise & IGA Group 5 01706803375 disable husband 0-4999 No class 5 No Yes No Selected
25 41188 মোছাঃ নার্গিসর্গি আক্তার 27 Employment Group 6 01762977099 disable husband 0-4999 No class 5 Yes Yes No Selected
26 41191 মরুফা বেগম 34 Enterprise & IGA Group 1 01755482682 abandoned husband 0-4999 No Yes No Selected Address Name of Interviewer: Signature Page: From ________To________ Union: Golmunda 1: ______________________ Date: Upazilla: Jaldhaka 2: ______________________ District: Nilphamari 3: ______________________ SL Candidate ID Candidate Name Age Group Ward no Cell no Marital Status Minimum HH Income Diseases in Last One Year Education Willingness to work in Garments Willingness to Work for Public works Receive any other Govt./Private Project Aid if Yes,Which one State Potential Candidate (✔/✖) Selected from Lottery (✔/✖)
27 41200 সুবা রানী 38 Enterprise & IGA Group 9 01877644192 disable husband 0-4999 No Yes No Selected
28 41202 করিমোন বেগম 42 Enterprise & IGA Group 6 01782206777 disable husband 0-4999 No Yes No Selected
29 41203 শরিফা 28 Employment Group 9 01735764169 disable husband 0-4999 No class 5 Yes Yes No Selected
30 41207 পারুল 40 Enterprise & IGA Group 6 01787311746 disable husband 0-4999 No Yes No Selected
31 41220 আলেমা 38 Enterprise & IGA Group 6 01311872746 abandoned husband 0-4999 No Yes No Selected
32 41230 মোছাঃ ফিরোজা 35 Enterprise & IGA Group 3 01754307478 disable husband 0-4999 No Yes No Selected
33 41248 আছিরন নেছা 40 Enterprise & IGA Group 9 01735445707 widow 0-4999 No Yes No Selected
34 41257 ইসমোতারা 33 Enterprise & IGA Group 3 01764945947 disable husband 0-4999 No Yes No Selected
35 41262 মোছাঃ হাসিনা বানু 43 Enterprise & IGA Group 3 01722542530 disable husband 0-4999 No Yes No Selected
36 41271 মোছাঃ জোসনা বেগম 39 Enterprise & IGA Group 3 01319167522 disable husband 0-4999 No Yes No Selected Copy to: UP File Approved by: _____________________ Representaitve from UNDP (UP Chairman) Date: _____________________ (UP Official Seal)
Strengthening Women’s Ability for Productive New Opportunities Local Government Division, MoLGRD&C Interview Format for Beneficiaries Selection SL Candidate ID Candidate Name Age Group Ward no Cell no Marital Status Minimum HH Income Diseases in Last One Year Education Willingness to work in Garments Willingness to Work for Public works Receive any other Govt./Private Project Aid if Yes,Which one State Potential Candidate (✔/✖) Selected from Lottery (✔/✖)
1 40812 মোছাঃ রুপালী 40 Enterprise & IGA Group 4 01788218106 disable husband 0-4999 No Yes No Selected
2 40816 ছাদেকা বেগম 33 Enterprise & IGA Group 1 01796082448 disable husband 0-4999 No Yes No Selected
3 40820 মোছাঃ শরিফা বেগম 42 Enterprise & IGA Group 4 01788018252 widow 0-4999 No Yes No Selected
4 40831 মৌসুমী আক্তার 21 Employment Group 1 01957471749 disable husband 0-4999 No class 6-8 Yes Yes No Selected
5 40838 লাকী বেগম 39 Enterprise & IGA Group 7 01328701613 disable husband 0-4999 No Yes No Selected
6 40850 সুমি আক্তার 22 Employment Group 1 01779878913 disable husband 0-4999 No class 5 Yes Yes No Selected
7 40854 মারুফা আক্তার 24 Employment Group 4 01705025248 disable husband 0-4999 No class 6-8 Yes Yes No Selected
8 40874 মোছাঃ মোতাহারা বেগম 38 Enterprise & IGA Group 7 01792877815 disable husband 0-4999 No Yes No Selected
9 40915 মোছাঃ মোমেনা 36 Enterprise & IGA Group 4 01704864654 disable husband 0-4999 No Yes No Selected
10 41021 মোছাঃ আজিমা বেগম 28 Employment Group 7 01733803698 abandoned husband 0-4999 No class 5 Yes Yes No Selected
11 41026 মোছাঃ মোর্শেদা বেগম 43 Enterprise & IGA Group 2 01751063575 disable husband 0-4999 No Yes No Selected
12 41030 রুপালী 33 Enterprise & IGA Group 7 01762058955 disable husband 0-4999 No Yes No Selected
13 41056 কুলছুম বানু 39 Enterprise & IGA Group 5 01731482251 widow 0-4999 No Yes No Selected
14 41070 গোলশেনারা 36 Enterprise & IGA Group 8 01315044351 abandoned husband 0-4999 No Yes No Selected
15 41071 মোছাঃ আতোয়ারা বেগম 41 Enterprise & IGA Group 2 01996481192 disable husband 0-4999 No Yes No Selected
16 41085 তছকিনা খাতুন 26 Employment Group 5 01944368858 disable husband 0-4999 No class 5 Yes Yes No Selected
17 41087 মনোয়ারা 43 Enterprise & IGA Group 8 01315142400 widow 0-4999 No Yes No Selected
18 41105 মোঃ হামিদা বেগম 38 Enterprise & IGA Group 2 01751063575 widow 0-4999 No Yes No Selected
19 41115 এছমোতারা 21 Employment Group 2 01334754037 divorcee 0-4999 No class 5 Yes Yes No Selected
20 41135 রাহেদা 39 Enterprise & IGA Group 8 01737068667 disable husband 0-4999 No Yes No Selected
21 41142 অজিফা বেগম 34 Enterprise & IGA Group 8 01953850490 widow 0-4999 No Yes No Selected
22 41156 বিউটি বেগম 34 Enterprise & IGA Group 5 01795022399 disable husband 0-4999 No Yes No Selected
23 41162 মোছাঃ আফরুজা বেগম 26 Employment Group 9 01760982929 disable husband 0-4999 No class 5 Yes Yes No Selected
24 41166 মুক্তা রানী রায় 26 Enterprise & IGA Group 5 01706803375 disable husband 0-4999 No class 5 No Yes No Selected
25 41188 মোছাঃ নার্গিসর্গি আক্তার 27 Employment Group 6 01762977099 disable husband 0-4999 No class 5 Yes Yes No Selected
26 41191 মরুফা বেগম 34 Enterprise & IGA Group 1 01755482682 abandoned husband 0-4999 No Yes No Selected Address Name of Interviewer: Signature Page: From ________To________ Union: Golmunda 1: ______________________ Date: Upazilla: Jaldhaka 2: ______________________ District: Nilphamari 3: ______________________ SL Candidate ID Candidate Name Age Group Ward no Cell no Marital Status Minimum HH Income Diseases in Last One Year Education Willingness to work in Garments Willingness to Work for Public works Receive any other Govt./Private Project Aid if Yes,Which one State Potential Candidate (✔/✖) Selected from Lottery (✔/✖)
27 41200 সুবা রানী 38 Enterprise & IGA Group 9 01877644192 disable husband 0-4999 No Yes No Selected
28 41202 করিমোন বেগম 42 Enterprise & IGA Group 6 01782206777 disable husband 0-4999 No Yes No Selected
29 41203 শরিফা 28 Employment Group 9 01735764169 disable husband 0-4999 No class 5 Yes Yes No Selected
30 41207 পারুল 40 Enterprise & IGA Group 6 01787311746 disable husband 0-4999 No Yes No Selected
31 41220 আলেমা 38 Enterprise & IGA Group 6 01311872746 abandoned husband 0-4999 No Yes No Selected
32 41230 মোছাঃ ফিরোজা 35 Enterprise & IGA Group 3 01754307478 disable husband 0-4999 No Yes No Selected
33 41248 আছিরন নেছা 40 Enterprise & IGA Group 9 01735445707 widow 0-4999 No Yes No Selected
34 41257 ইসমোতারা 33 Enterprise & IGA Group 3 01764945947 disable husband 0-4999 No Yes No Selected
35 41262 মোছাঃ হাসিনা বানু 43 Enterprise & IGA Group 3 01722542530 disable husband 0-4999 No Yes No Selected
36 41271 মোছাঃ জোসনা বেগম 39 Enterprise & IGA Group 3 01319167522 disable husband 0-4999 No Yes No Selected Copy to: UP File Approved by: _____________________ Representaitve from UNDP (UP Chairman) Date: _____________________ (UP Official Seal)
পরিকল্পনা ও বাস্তবায়নে: মন্ত্রিপরিষদ বিভাগ, এটুআই, বিসিসি, ডিওআইসিটি ও বেসিস