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BPL Form 2

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104 views1 page

BPL Form 2

Uploaded by

www.aryanchopra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1/24/22, 4:38 PM https://saralharyana.gov.in/viewServiceApplicationForm.do?

serviceId=7610007&tempId=2281&templStatus=243&state=6&backButtonUrl=&OWASP_CSRFTOKEN=4JNA-9W8B-YF1N-OXSK-9S…

Service Description Application Form Apply For Service

New Ration Card

Instruction for New Ration card

1. For CBPL, SBPL and AAY, BPL Family ID is mandatory and If not entered application will be rejected by default. *

2. In Family's Details section, in case of Head of Family(HOF) please select 'Self' in relationship dropdown. If more than
one member found with 'Self' relationship application will be rejected. *

3. In Family's Details section LL stands for Local language and EN stands for English language *

4. Please fill complete details in every field of this form. *

5. Applicant Mobile No is mandatory, a confirmation message will be sent on this mobile number. *

6. Aadhaar No. is mandatory for all categories. Application will be rejected in case of any Invalid/Wrong Aadhaar Number
*

7. In Photograph Section, please Upload the Family photograph with the size not more than 100 Kb. *

8. Document Size Should not be greater than 200kb each *

Ration Card Details

Card Type * SBPL BPL Family ID * 7NKB5984

Applicant Name * Kamlesh

Applicant Mobile Number * 9729905826

Applicant Email Id www.aryanchopra@gmail.com

Family's Details

Aadhaar Consent : I hereby state that I have no objection in authenticating myself with Aadhaar based authentication system and
consent to providing my Aadhaar number. I understand that the Aadhaar number shall be used only for the below mentioned purpose:
This Aadhar number will be used for verifying the identity of the applicant. *

Member Details

Member Member Mother's Mother's Father's Father's Spouse Name Spouse Name Opting To Lift EPIC No.
Gender * Relationship * Nationa
Name (in LL) Name (in EN) Name (in LL) Name (in EN) Name (in LL) Name (in EN) (in LL) (in EN)

* * * * * *

Kamles Kamles Female Sona D Sona D Dharam Dharam Rames Rames Yes ZZS133469 Self IND

Present Residence Address

House No./House Indira Vihar Colony,Ward-2,No House No./House Indira Vihar Colony,Ward-2,No
Name/Street Name/Street Name/Street Name/Street
No./any other qualifier(LL)* * No./any other qualifier(in EN)
*

Landmark/Locality/Colony/AreaIndira Vihar Colony,Noorwala,W Landmark/Locality/Colony/AreaIndira Vihar Colony,Noorwala,W


Name/Area No./Suburb(in Name/Area No./Suburb(in
LL)* * EN) *

State * HARYANA District * Panipat

Tehsil * PANIPAT Village * PANIPAT (M CL)

Pin Code * 132103

https://saralharyana.gov.in/viewServiceApplicationForm.do?serviceId=7610007&tempId=2281&templStatus=243&state=6&backButtonUrl=&OWASP_CSRFTOKEN=4JNA-9W8B-YF1N-OXSK-9S7R-O04T-FUZA-IVRU 1/3

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