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Ration Card No.: Status: Verified and Approved

272031609110 [A]

Ration Card And Member Personal Details

M.ID S Member Member Mother Mother Relation Gender Age DoB UID No. Mobile No. Annual
Name Name Name Name Income(In
(EN) (LL) (EN) (LL) Rs.)

01 A JASUNDA जासुंदा SHewanta शेवंता SELF F 33 31/03/1991 ********3460 7972667826 45000.00

ANAND Alone अलोणे
MANDE

02 A Anjali अंजली Jasunda जासुंदा DAUGHTER F 8 28/04/2016 ********4419 7972667826 0.00

Anand आनंद Mande मांडे
Mande मांडे

03 A Aadarsh आदशर् Jasunda जासुंदा SON M 5 27/07/2019 ********7685 7972667826 0.00

Anand आनंद Mande मांडे
Mande मांडे

Total Ration Card Annual Income= 45000.00

Card Type Details

Original Card Type : NPH [NPH(State)]

Address Details

Present Residence Address: Permanent Residence Address and Other

Details:
House House Landmark/Locality/Colony(LL):
Landmark/Locality/Colony(EN):
No./ No./House भीमनगर BHIMNAGAR
House Name House House Landmark/Locality/Colony(LL):
Landmark/Locality/Colony(EN):
Name (EN): No./ No./ भीमनगर BHIMNAGAR
(LL): ANAND House House
आनंद MANDE, Name(LL): Name(EN):
मांडे, NEAR आनंद ANAND
राशन RASHAN मांडे, MANDE,
दुकान STORE राशन NEAR
६४ 64 दुकान RASHAN
जवळ , ६४ STORE
जवळ , 64
Village / Village / Block: GP/Ward:
Town name Town name Village/Town Village/Town Block: GP/Ward:
(LL): छत्रपती (EN): name (LL): name (EN):
संभाजीनगर Chhatrapati छत्रपती CHHATRAPATI
(महानगरपािलका) Sambhajinagar संभाजीनगर SAMBHAJINAGAR
(M Corp.) (महानगरपािलका) (M CORP.)

Taluka/Tehsil/Sub-
Taluka/Tehsil/Sub-
District (LL): District Taluka/Tehsil/Subdistrict
Taluka/Tehsil/Subdistrict
District District
District(LL): District(EN): छत्रपती (EN): (LL): छत्रपती (EN): (LL): (EN):

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छत्रपती Chhatrapati संभाजीनगर Chhatrapati संभाजीनगर CHHATRAPATI छत्रपती CHHATRAPATI

संभाजीनगर Sambhajinagar Sambhajinagar SAMBHAJINAGAR संभाजीनगर SAMBHAJINAGAR

State (LL): State (EN): PIN Code: State (LL): State (EN): PIN: 431002
महाराष्ट्र MAHARASHTRA 431002 MAHARASHTRA MAHARASHTRA

Gas & Kerosene Oil Details FPS Details

Gas Gas Gas Gas agency DFO/DFSO: AFSO: FOOD FPS Name for
Connection Consumer company name: COLLECTOR GRAIN Foodgrains:
Status: GA- number: name: AMBER GAS OFFICE (BRANCH DISTRIBUTION 151521700183 /
Gas Cylinder 45033 Bharat AGENCY SUPPLY), OFFICE FPS 64 / ADARSHA
One Petroleum CHHATRAPATI CHHATRAPATI GRAHAK SEVA
Corporation SAMBHAJINAGAR SAMBHAJINAGAR SANSTHA / 06502
Limited CITY (TALUKA [N]
LEVEL)
K.Oil FPS Name Gas Gas
Eligibility: (Kerosene): Consumer Consumer
No Name (EN): Name (LL):
JASUNDA जासुंदा
ANAND
MANDE

Attached Enclosures

Sl. Document Enclosure Type Document Download

No. Type Number Document

1 Identity Proof Pan Card IYXPM5576C 'Pan-2.Pdf'.

2 Address Proof Any Other Government/Semigovernment Certified Document For 483387033460 'Jas Adhar.pdf'.
Address

3 Others Other (Any Document In Support Of Family Income, NFSA 413732364562 'Income.pdf'.
Eligibility)

NFSA Criteria

Sl. No. Criteria Name Remarks Options Download Document

1 You Fall Under Which Category Of The PHH Category 'Income.pdf'.

Following

Nominee Details

Nominee Name: NA Nominee Status: NA

Nominee's Aadhaar No.: NA

Note: Terms and Conditions for Nominee

1. NFSA beneficiary(ies) ,who are above sixty five years of age, or who are di!erently-abled,and have no other adult family member (16
to 65 years as on date of nomination) listed in the Ration card, and are not in a position to visit the Fair Price Shop themselves, would
be eligible to be covered under the special dispensation.
2. Only one Nominee is possible in one Ration card.
3. Any member of Ration card can not be a Nominee.

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4. Nominee must be their in the same Fps as that of Beneficiary ,if Nominee's Fps has been changed to another Fps than Nominee will
automatically be deleted for Ration card.
5. If any member's age below 16 years and she /he becomes adult on a good day, the nominee present in the ration card will
automatically be treated as cancelled for this Ration card that day onwards.
6. Beneficiary's as well as nominee's mobile number should be seeded with UIDAI for aadhaar based authentication through OTP.
7. Nominee's aadhaar number should be verified in his Ration card.
8. For the successful registration of the nominee, an OTP will be sent on aadhaar-card-registered mobile number and nominee's
aadhaar-card-registered mobile number.Successful verification of both the OTPs will register the nominee successfully.

Total Ration Card Annual Income(In Rs.): 45000.00

Verifying Authority Details

Inspector: inspauraurf6 [I1054]

Remark: "I am widowed and mother of two small kids."P[Jasunda1991(0552354) ],(Aug 26 2024 1:02PM)
Inspector's Remarks:

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