APPLICATION FORM FOR ISSUE OF NEW RATION CARD/ RENEWAL OF RATION CARD Name of the Applicant1. Father's Name2. Present Address Colony/ House Number 4. Permanent Address Colony/ 3. 5. Inner Line Pass No. 6. 7. Occupation/ Designation Name of Department 8. Details of Family Member Adult Minor Published on National Portal of India (india.gov.in) Village/ Village/ House Number FORMAT (In block letters) Sector Sector (In case of Non-Arunachalees) Employer/ 6. 7. 9. Census No. Trading Licence No. L.P.G. Consumer No. 10. 11. I do hereby declare that the particulars of my family members shown above are correct to Signature of applicant Date Published on National Portal of India (india.gov.in) Name in full AgeSl.No. 1. 2. 3. 4. 5. Sex Relationship with the applicant Male Female Electoral Roll No./ the best of my knowledge and belief. I do not possess any Ration Card in my name or in the names of above family members. Female Male Male Female Male Female Female Male Male Female Male Female 8. 9. Male Female Male Female (In Case of Business Community)
