0% found this document useful (0 votes)
5 views1 page

64

Uploaded by

naiklucky001
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
0% found this document useful (0 votes)
5 views1 page

64

Uploaded by

naiklucky001
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
You are on page 1/ 1

Change of Address / Member Details Receipt

ವಿಳಾಸ / ಸದಸ್ಯ ರ ವಿವರ ಬದಲಾವಣೆ ರಸೀದಿ


Ack No : 70271968 Ack Date : 20/09/2025
Request Type Correction of Member Details - ADD
RC No 150600161471
Card Type PHH(NK)

District KALABURAGI Taluk JEVARGI


Panchayat RANJANGI
Address Details
Address in W/O GANGU BADANIHAL Address in W/O ಗಂಗು ಬದನಿಹಾಳ
English JEWARGI Kannada ಜೇವರ್ಗಿ
FPS Details
Fair Price Shop Name in 122-J.M.M. Fair Price Shop Name in ಜ.ಮ.ಮಂಡಳಿ
English BADNIHAL Kannada ಬದನಿಹಾಳ
Member Details
Date of
Member
Name in Name in Relationship Birth / Member AADHAR
Occupation to be
English Kannada Status Year of Status No.
deleted
Birth
Ranabai ರಾಣಾಬಾಯಿ Family Head 01/01/1943 LABOURERS No - ********2258
Daughter In HOUSE
Sushila ಸುಶೀಲಾ 01/01/1965 No ADDED ********9149
Law WIFE
Lalasingh ಲಾಲಸಿಂಗ್ Son 01/01/1959 LABOURERS No ADDED ********0768
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.
Application Fee: Rs.25/-

You might also like