FCS&CA Department ‘Sub: - Updation of ration card. R/___, With due respect, 1 update my ration card as per the below mentioned details (Self S/o,D/o,W/o R/o request to your goodself to kindly Certified by Head of the Family’ Detail of work/ modification: ( (J) Tick ) TL) [Addition of Member Change of Address || Deletion of Member (ST Gender Change [J correction in name TT [Resation Change (ST eanster/Surrender certificate of Ration Card = [issuance of Surrender Cerificate in case of Marnege_| [change of FPS ‘Change of Head of the Family in case of death | {CT Activation of Ration Card ‘Updation of Ration Card es | ] S.| Name of Famlly | pretation Parentage of Annual | Aadhaar | No Members ‘elation “Father Name | Mother Name Income | No | | | ; 1 ie ] | pet fe | Lt | ote: 3. For Gener Family. 2. For Government Employees-Income Certificate dul tested by concerned DDO, Signature of i, the above Occupation & Annual Income details should be Sel Certified by the Head of the Head of the Family © scanned with OKEN ScannerBank Details of Head of the Family. Name of the Bank T Alc No a IFSC Code Name of Branch Gas Connection Details. [Name of Gas Company Name of Consumer Consumer Number Number of Cylinder Documents needs to be attached with the application: (Compulsory), 1. Copy of Old Ration Card 2 Aadhaar Card of Each Family Member. 3. Proof of Birth: Bith Certtcate / High Scvoo! Merksheet/ Pon Card / Voter Card / Aadhaar Card (any one). 4 5. Passpor size photograph of Head of the Family. 1D Proof: Voter ID Card/Pan Card/Passport/Driving License Government or Semi Government Organization 1D ‘cardykssan Photo Passbook/Aadhaar Card. (Any one) 6. Address Proof:- Paseport/Recent Telephone Bil/Recent Electric Bil/Water Bent Deed/Room Rent Receipt/Driving LUcense/ Aadhaar Card/ Land Documents. (Any one) 7. State Subject/Domicile Certificate of Head of the Family. 8. Surrender certificate for addit'on of member(Daughter-n-aw), in case of marriage. 9, Death Certificate for Deletion of member, in case of Death. nt. ication: (Optic 1. Copy of Disability Ceticate, 2. Copy of MNREGA Card. 3, Copy of Caste Category Certicate. 4, Special Category. '5. Copy of Bank Passbook of Head of the Family 6, Gas Connection Copy. 1 ee ee eee R/O do hereby declare that the information given in the application and in enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein, Signature of Head of the Family Mobile No of Hof: © scanned with OKEN Scanner“T8150, FCS&CA Department Sub: - Updation of ration card. _ With due respect, 1 S/o,D/o,W/o R/o request to your goodself to kindly update my ration card as per the below mentioned details (Self Certified by Head of the Fal Detail of work/modification: ( () Tick ) 1 [ Raition of Member [Change of Address =] S| Deteton of Member [Gender Change (Correction in name (Relation Change = ‘( | transfer/Surrender certificate of Ration Card [issuance of Surrender Certificate in case of Marriage _| Change of FPS + Change of Head of the Family in case of death [Activation of Ration Card) = [Updation of Ration Card. s, | Name of Family Parentage Annual | Aadhaar cupation No| Members | Rel@tlon (“Father Name | Mother Name Occupation | Income | NO 7 ' = 7 note: Forgan Pu; he above Ocuaion & Ana ncne eta sould eSl ete the ead of he i 2. For Government Employces-Income Certificate duly attested by concerned DDO. ignature of Head of the Family © scanned with OKEN Scanner~, | | | [Aje No [IFSC Code [Name of Branch | Bank Details of Head of the Family. Name of the Bank Gas Connection Details. [Name of Gas Company Name of Consumer : | Consumer Number I ‘Number of Cylinder | J Document wit 1. Copy of Old Ration Card. 2. Radhagr Card of Each Family Member 3. Proof of Birth: Bith Certificate / High School Marksheet / Pon Card / Voter Card / Aadhaar Card (any ene) 4. Passport size photograph of Head of the Family. ‘51D Proof: Voter ID Card/Pan Cara/Passport/Drving License/Government or Semi Government Organization 1D ‘cardkissan Photo Passbook/Aadhaar Card. (Any one) 6, Address Proof:- Passport/Recent Telephone BillRecent Electricity Bl/ Water Bil/Rent Deed/Room Rent Receipt/Driving Ucense/ Aadhaar Card/ Land Documents, (Any one) 7, State Subject/Domicile Certificate of Head of the Family. 8, Surrender certificate for addition of member(Daughterin-aw), in case of marriage. 9. Death Certificate for Deletion of member, in case of Death. th li 1. Copy of Disability Certificate 2. Copy of MNREGA Card, 3. Copy of Caste Category Certificate. 4, Special Category. 5. Copy of Bank Passbook of Head of the Family. 6. Gas Connection Copy. 1 S/0,D/o, W/o. Rio do hereby declare that the information given in the application ‘and in enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein. Signature of Head of the Family ‘Mobile No of Hof:- © scanned with OKEN Scanner