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Ration Card Member Addition (Birth) Application Form

This document appears to be an application form for adding a new member to an existing ration card in India. The form requests information such as the existing ration card number, details of the new member like name, date of birth, gender, age, parents' names, spouse name, identification numbers, and a photo. It also asks for informant details like name, relationship to applicant, mobile number, and preferred delivery method. Documents needed include the application form, proof of identity document like birth certificate, and a photo of the new member.

Uploaded by

Badri Seetharaman
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
6K views

Ration Card Member Addition (Birth) Application Form

This document appears to be an application form for adding a new member to an existing ration card in India. The form requests information such as the existing ration card number, details of the new member like name, date of birth, gender, age, parents' names, spouse name, identification numbers, and a photo. It also asks for informant details like name, relationship to applicant, mobile number, and preferred delivery method. Documents needed include the application form, proof of identity document like birth certificate, and a photo of the new member.

Uploaded by

Badri Seetharaman
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Conversion of White Card to Pink Card Conversion of White Card to Pink Card

Ration Card Member Addition (Birth) Application Form


Request Details
Ration Card No*:____________________________________
____________________________________

Member Addition Details


Member
Name

Mother Name

DOB
(dd/mm
/yyyy)

Gender

Age

Father Name

Spouse
Name

EID

UID

Informant Details
Applicant Name/ House Head Name*::______________________________________
Informant Name*:________________________________________________________
________________________________________________________
Informant Relation*:______________________________________________________
______________________________________________________
Mobile No*:____________________________________________________________
____________________________________________________________
Delivery Type*:
 Manual
Proof Document*:  Affidavit  Birth Certificate  CGHS Card

Documents List
(NOTE: 1. All Upload Documents should be in PDF Format only 2. Each file
ile should not exceed 50KB)
1.

Application Form*

2.

Proof Document*

3.

Photo*(JPG or JPEG format only)

Applicants Signature

Relation
with Head

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