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Ration Card Data Corrections

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sachivalayampkd6
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275 views1 page

Ration Card Data Corrections

Uploaded by

sachivalayampkd6
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Ration Card Data Corrections Application Form

Applicant Details:-
Applicant Name : ___________________________________Date of Birth : _____________________________
Father Name : ___________________________________Mother Name : _____________________________
Door No : ___________________________________Street Name : _____________________________
District : ___________________________________Mandal : _____________________________
Village : ___________________________________Mobile No : _____________________________
Ration Card No : ___________________________________

Corrections Required in House Hold Card:-

Head of House Hold Name: _____________________________Father/Husband Name : ______________________________


Date of Birth : _____________________________Occupation : ______________________________
House/Door Number : _____________________________Street Name/Number : ______________________________
Colony Name : _____________________________ Village/Ward : ______________________________
Mandal / Municipality : _____________________________ District : ______________________________

Corrections Required in Family Member Details:-

S.No Name Relation With Head of House Hold Date of Birth


1
2
3
4
5
6
7
8
9
10
11

Proof Documents List (Any one of the below should be attached):-

Bank Pass Book Birth Certificate


Certificate Issued by Educational Dept Copy of Arogyasri Card
Driving License Educational Certificate
Employee ID card Municipal Tax Receipt
Other Govt Benefit Proof Documents Passport
Telephone Bill Transfer Orders (ETC)
Copy of Ration Card Copy of Voter Card
 Copy of Electricity Bill  Copy of Pan Card
LPG Gas Connection Voucher Rs.10/- Bond Affidavit Duly Attested

Proof Document Number: ____________________________________________________

Declaration:-
I hereby declare that the above-mentioned information is correct up to my knowledge and I bear the responsibility
for the correctness of the above-mentioned.

Date:
Place: Applicant’s Signature

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