7/26/2019 Ration Card Transafer Application Form

1/1

Conversion of White Ca

Ration Card No*:

House No. to be changed*:

Landmark/Locality/Colony to be c

District to be changed*:

Mandal to be changed*:

Ward/Village to be changed*:

Pin code to be changed *:

Proof Document 1 of Card Transfer

Proof Document 2 of Card Transfer

Informant Name*:

Relation*:

Mobile No*:

Delivery Type*:

Reason for Ration Card Transfer*:

Old Ration Card Collected from the

( .

1. Application Form*

2. Affidavit/Self Declaration/Certif

3. Driving License/Rental Agreeme

Bill:*

rd to Pink Card Conversion of White Card to

anged*:

*: Affidavit

Certificate from Present FP shop for Commod

Self Declaration

*: Driving License Rental AgreementElectri

Bank Pass book LPG Receipt Notary Te

Applicant*: Yes No

.

icate from Present FP shop for Commodities not lif

nt/Electricity Bill/Bank Pass book/LPG Receipt /N

`ink Card

ities not lifted

ity Bill

ephone Bill

)

ing:*

otary /Telephone