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New Food Security Card

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pjpraveen28689
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49 views1 page

New Food Security Card

Uploaded by

pjpraveen28689
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR NEW FOOD SECURITY CARD

Head of the House hold Details :

UID (Aadhaar)*: Name of Head of the Family*:

HOF Fathe r/ Spouse Name*: Gender*: Male□ Female□

Age*: Religion*:

Social Status*: □General □BC □SC □ST □OTHERS

Residence Address :
Door Number*: Locality / Landmark*:

District*: Mandal*:

Village/Ward*: Pin Code*:

FP Shop No*: SKS Form No:

Add Member Details ( Including HOF)*

AADHAAR NO. NAME DOB / AGE RELATION WITH


HEAD

Mobile No*: Aadhaar Proof Document*:

Address Proof Document*:

Delivery Type *: □Manual □Local post □ Non Local post

Documents List:
1. ApplicationForm*
2. AadhaarProofDocument*
3. AddressProofDocument*

Applicant’s Signature

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