7/25/2019 Ration Card Modifications (EPDS INTEGRATION)Application Form

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Ration Card No*:

Address Change Member Deta

House No. to be changed*:

District to be changed*:

Ward/Village to be changed*:

Wish to Change F.P Shop No*: Y

Proof Document of Present Addres

Informant Name*:

Delivery Type*: Manual

Reason for House Hold Head Modifi

( 1.

1. Application Form*

2. Proof for Address/

3. Proof for Member

ils Modifications

Landmark/Locality/Colony to be chan

Mandal to be changed*:

Pin code to be changed *:

S NO F.P Shop No. to be changed* :

Change*: Driving License Rental Agreement

Bank Pass book LPG Receipt Tel

Aadhar Card Affidavit Voter Id

Relation*: Mobile No*:

cations* :

2.

Card Transfer*

odifications*

`

ged*:

Electricity Bill

ephone Bill

Passport

)