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| Bhutan Address: | Village: | Puranobusty | Date of departure from Bhutan: |
19/7/92 |
| Block: | Gaylegphug | |||
| District: | Sarbhang | |||
| Tharm No.: | 226* | |||
| House No.: | PB/9 | |||
| Refugee Camp Address: | Camp: | Beldangi-2 Extn. | Date of arrival in Nepal: | 21/7/92 |
| Sector/Hut No.: | E3-01/02 | |||
| HOF's Father: | Lt. Bhagi Rath Mishra |
| HOF's Mother: | Lt. Hema Maya Mishra |
Family Details (at the time of departure):
a. Bhutan
| S/No. | Name | Age/Sex | Relation to HOF | C/Card No. | Occupation | Remarks |
| 1 | Lt. Praja Pati Mishra | M | HOF | - | - | Expired |
| 2 | Bhakti Ram Mishra | 37M | Son | 0057464 | Farmer | - |
| 3. | Naina Kala Mishra | 30F | D-in-law | 0057466 | Farmer | - |
| 4. | Khoma Devi Mishra | 14F | Grand-daughter | - | Student | - |
| 5. | Jai Naraya Mishra | 11M | Grandson | - | Student | - |
| 6. | Toya Nath Mishra | 8M | Grandson | - | Student | - |
| 7. | Mehashore Mishra | 6M | Grandson | - | - | - |
| 8. | Ghana Syam Mishra | 30M | Son | 0057465 | Farmer | - |
| 9 | Mon Maya Mishra | 16F | D-in-law | 0223251 | Farmer | - |
| 10 | Khina Devi Mishra | 54F | Wife | 0057463 | Farmer | - |
| 11 | Mega nath Mishra | 3M | Grandson | - | - | - |
| 12 | Mon Maya Mishra | 19F | Daughter | 0057467 | Farmer | MO-Bel-2Extn.E3/37 |
b. Change in family structure (after leaving Bhutan).
| S/No. | Name | Age/Sex | Relation to HOF | Remarks |
| 1 | Kishore Mishra | 1M | Grandson | Son of a8 |
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