FORMAT FOR INTEGRATION OF MIGRANT RATION CARD DETAILS INTO THE NATIONAL
FOOD SECURITY ACT (NFSA) DATA BASE
(To enable Kashmir/Jammu Migrants to avail benefits of various Government Schemes)
1 ZONE/CAMP
2 DATA FORM NUMBER
3 REGISTERATION CATEGORY PHOTOGRAPH OF
(RELIEF/NON RELIEF) HEAD OF FAMILY
4 NAME OF HOF
5 SON/DAUGHTER/WIFE OF
6 RELIGION
7.PERMANENT ADDRESS OF KASHMIR VALLEY (BEFORE MIGRATION)
VILLAGE/MOHALLA TEHSIL DISTRICT ASSEMBLY CONST. WETHER VILLAGE FALLS
UNDE RBA OR NOT
8(a)PRESENT RESIDENTIAL ADDRESS
HOUSENO MOHALLA/ VILLAGE/TOWN TEHSIL DISTRICT STATE/UT PINCODE
STREET CITY
8(b)TYPE OF ACCOMODATION(*Please tick(√ ) the relevant box and cross (x) the box not relevant)
Govt. Accommodation Own House Rented Accommodation
9(a) Contact No b. Email. Id:
10.BANK ACCOUNT DETAIL (FOR RELIEF HOLDERS)
NAME OF BANK BRANCH Account Number(16 digits) IFSCCODE
11.Adetails OFFAMILY MEMBERS
SNO NAME OF RELATION DOB ACADEMIC OCCUPATION DOMOCILE AADHAR EPIC AYUSHMAN CONTACT NO.
THE WITH QUALIFICATION NO. NO. NO. NO.
FAMILY HOF
MEMBER
HEAD OF
THE
FAMILY
HOF
11.b.If HOF or any member of family is a Govt. Employee, the details there of.
S..No NAME WETHER PM PACKAGE DESIGNATION PARENT PRESENT PLACE
EMPLOYEE (Y/N) DEPARTMENT OF POSTING
12TOTA LFAMILY INCOME PER YEAR FROM ALL SOURCES (MINUS RELIEF ASSISTANCE)
*Please tick ( ) the relevant box and cross (x) the box not relevant.
Below Rs 75000/. Above Rs 75000/- But below 5.00Lakh More than Rs 5 Lakh
DECLERATION:
a) That I am the Domicile of union territory of J&K.
b) That I have no other Ration Card in my name or in the name of my any family member.
c) That I am not registered as migrant with any state /√UT Government, outside J&K UT.
d) That none of my married daughter(s) is part of this ration card.
e) That I have not concealed any facts and that the information submitted here in above is correct to
the best of my knowledge and that I understand that action under law can be initiated against me
for concealing/giving wrong information.
f) That I understand to furnish self-attested copies of corroborating documents to the committee
constituted vide S.O 392 of 2024 dated:13:08:2024 ,by the Government for integration of Ration Card
on NFSA Database.
Date: Signature of Head of Family
1. FROM RECEIVED BY
NAME & DESIGNATION
2. FORM CHECKED BY
NAME & DESIGNATION
3. BANK A/C VARIFIED BY
NAME & DESIGNATION
It is certified that the contents mentioned above have been verified and found correct.
Name:
Sig:
ZONAL OFFICER / CAMP COMMANDANT
