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Acknowledgement 3

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Veeresh Hiremath
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0% found this document useful (0 votes)
80 views1 page

Acknowledgement 3

Uploaded by

Veeresh Hiremath
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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8/23/23, 12:35 PM Acknowledgement

Change of Address / Member Details Receipt


ವಿಳಾಸ / ಸದಸ್ಯ ರ ವಿವರ ಬದಲಾವಣೆ ರಸೀದಿ
Ack No : 39085540 Ack Date : 23/08/2023
Request Type Correction of Member Details
RC No 140200137988
Card Type PHH(NK)

District GADAG Taluk MUNDARAGI


Panchayat DONI
Address Details
Address in English DONI Address in Kannada ಡೋಣಿ
FPS Details
Fair Price Shop Name in V.S.S.BANK Fair Price Shop Name in ವಿ.ಎಸ್‌.ಎಸ್‌.ಬ್ಯಾಂಕ
English DONI Kannada ಡೋಣಿ
Member Details
Date of
Member
Relationship Birth / Member AADHAR
Name in English Name in Kannada Occupation to be
Status Year of Status No.
deleted
Birth
GANGAYYA
ಗಂಗಯ್ಯ ಶಿವಯ್ಯ
SHIVAYYA Husband 21/04/1960 LABOURERS No - ********1344
HIREMATH ಹಿರೇಮಠ

Neelavva ನೀಲವ್ವ HOUSE


Family Head 01/01/1972 No ADDED ********5263
Budihalahiremath ಬೂದಿಹಾಳಹಿರೇಮಠ HOLD
ನನ್ನ ಆಧಾರ್ ಮಾಹಿತಿಯನ್ನು , ಪಡಿತರ ಚೀಟಿ ಪಡೆಯಲು ಹಾಗೂ ಆದಾಯ ಪ್ರ ಮಾಣ ಪತ್ರ ಪಡೆಯುವ ಸಲುವಾಗಿ
ಕಂದಾಯ ಇಲಾಖೆಯೊಂದಿಗೆ ಹಂಚಿಕೊಳ್ಳ ಲು ಸ್ವ ಯಂಪ್ರೇರಿತವಾಗಿ ಒಪ್ಪಿ ಗೆ ನೀಡಿರುತ್ತೇನೆ./I herewith submit my
Aadhaar number and voluntarily give my consent to share with Food and Revenue Dept details of Aadhaar/UID
number issued by the UIDAI, Government of India for incorporating the same in the Ration Card details.

https://ahara.kar.nic.in/rcamend2/PUBLIC_NEW_RATION_CARD_GSC/trn_ack.aspx 1/1

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