Application form for New Ration Card
( Especially for Municipal / Notified areas )
|Fair Price Shop No ..||Present
the applicant .
|Only for office use|
|Present Ration Card No.||No. of members
eligible to be included in new Ration Card.
|Signature of the Supervisory Officer.|
|Name of the
Head of the family with
Cards, Yes or No.
|If not, what
is the reasons
with the Head
of the family.
1) Name of Head of the Family &
2) Others :-
N.B. Present Ration Card is to be appended with it Applicants signature/thump impression
|Fair price shop No.||Ration Card No.||Name of the Head of family & Fathers/Husbands name.||No.of family members||Signature of the Inquiry officer.|