Meeseva Civil Supplies Issue of New Ration Card (Pink) Application Form

Meeseva Civil Supplies Issue of New Ration Card (Pink) Application Form

Download Meeseva Civil Supplies Issue of New Ration Card (Pink) Application Form
The Issue of New Ration Card (Pink) Application Form will be like below download the form and fill all the details and attach required documents:
New Ration Card (Pink) Application Form:
New Ration
Head of the Household Details
Card Type*: APL BPL AAY AAP
EID*: ________________________________________________
Name of Head of the Family*:_______
Name of Head of the Family (In local language)
Mother's Name*: ______________________________________________________________
Mother's Name (In local language)*: _________
Father's Name*: __________________
Father's Name (In local language)*: ___________
Gender*: Male Female
Spouse's Name*: ___________________________________________________________
DOB*: ______________________________
Professional Details
Occupation*: _________________________________________________________________________
Annual Income*: _______________________________________
Gas Connection Details
Gas Connection Status*: Deepam
Gas Company Name*: _______________
Consumer No*:__________________________________
Residence Address
Door No *: _______________________
District*: ________________________
Village / Ward *: ________________________
FP Shop No*: ______________________________
Permanent Address
Door No *: _______________________
District*: _______________________
Village / Ward *: _________________________
New Ration Card Application Form
Head of the Household Details
AAP
__________________________ UID*: _____________________
______________________________________________________
Name of Head of the Family (In local language)*: ________________________________________
______________________________________________________________
___________________________________________________
__________________________________________________________________________
__________________________________ Age*: _____________
______________________________________________________
_______________________________________________________________________________
Double Single No Cylinder
_______________ Gas Agency Name *: _______________________________________
__________________________________
: _______________________ Locality / Land Mark*: ____________________________________
________________ Mandal*: ___________________________
______________________ Pin Code: ____________________
______________________________
: _______________________ Locality / Land Mark*: ____________________________________
_____________________ Mandal*: _________________________
_________________________ Pin Code: _______________________
_____________________
_________________________________________________
____________________
Add Member Details: YES
If Yes, Please Enter Member Details
Member
Name
Gend
er
DOB
(DD/MM
/YYYY)
Mother
Name
Other Details
Old Ration Card No. (If any): _________________________________
Informant Details
Informant Name*: ____________________
Delivery Type*: _______________________________
Proof Document*: _______________________________________
Documents List (NOTE: 1.Total size of all Upload Documents should not be exceeding up to 50 KB.
 2. All Upload Documents should be in PDF format only.
Meeseva Application Form*
Proof Document*
Photo*
NO
Father
Name
Spouse
Name
Opting to
Lift
Commodity
(True/False)
Age EID
______________________________________________________________
__________________________________ Informant Relation*: _________________________
_______________________________ Mobile No*: ______________________________________
_______________________________________
NOTE: 1.Total size of all Upload Documents should not be exceeding up to 50 KB.
2. All Upload Documents should be in PDF format only.)
Applicant’s Signature