Meeseva Ration Card Missing Details in Database Application Form Copy Civil Supplies

Meeseva Ration Card Missing Details in Database Application Form Copy 

Download Meeseva Civil Supplies Ration Card Missing Details in Database Application Form  Copy.
The Ration Card Missing Details in Database Application Form will be like below download the form and fill all the details and attach required documents:


Ration Card Missing Details in Database Request Details:
Ration Card Missing Details in Database
Request Details
Ration Card No.*:
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*(DD/MM/YYYY): ______________________________
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 *: _________________________
Add Member Details: YES
Missing Details in Database 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: _______________________
NO
Application Form
_________________
: ____________________________________
__________________________________
________________________
: ____________________________________
________________________________
_________________

If Yes, Please Enter Member Details
Member
Name
Gender DOB
(DD/MM
/YYYY)
Mother
Name
EID UID Relationship
with Head
of the
Family
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*
Ration Card*
Proof Document*
Photo* (Photo Format should be jpg or jpeg format only)
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.
Upload Documents should be in PDF format only.)
Photo Format should be jpg or jpeg format only)
Applicant’s Signature