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    Model Application Form For Food Security Card

    Uploaded by

    Madhu
    This document is an application form for a food security card. It requests information such as the name and contact details of the head of the family, residential address, UID number, details of family members including their names, relationships, and UID/EID numbers. It also asks if the family has an LPG connection and details of their LPG agency and number. Applicants must declare that the information provided is true and correct. Upon submission, officials will provide an acknowledgement with the applicant's name and application serial number.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Model Application Form For Food Security Card

    Uploaded by

    Madhu
    51 views1 page
    This document is an application form for a food security card. It requests information such as the name and contact details of the head of the family, residential address, UID number, details of family members including their names, relationships, and UID/EID numbers. It also asks if the family has an LPG connection and details of their LPG agency and number. Applicants must declare that the information provided is true and correct. Upon submission, officials will provide an acknowledgement with the applicant's name and application serial number.

    Original Description:

    Food Security Card

    Original Title

    Model Application Form for Food Security Card

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    This document is an application form for a food security card. It requests information such as the name and contact details of the head of the family, residential address, UID number, details of family members including their names, relationships, and UID/EID numbers. It also asks if the family has an LPG connection and details of their LPG agency and number. Applicants must declare that the information provided is true and correct. Upon submission, officials will provide an acknowledgement with the applicant's name and application serial number.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    51 views1 page

    Model Application Form For Food Security Card

    Uploaded by

    Madhu
    This document is an application form for a food security card. It requests information such as the name and contact details of the head of the family, residential address, UID number, details of family members including their names, relationships, and UID/EID numbers. It also asks if the family has an LPG connection and details of their LPG agency and number. Applicants must declare that the information provided is true and correct. Upon submission, officials will provide an acknowledgement with the applicant's name and application serial number.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    MODEL APPLICATION FORM FOR FOOD SECURITY CARD

    (Please furnish information on plain paper)


    *Application Serial No.

    a)

    F.P. Shop No.

    Name of the Head of the Family


    (Women members only)
    [Men will be allowed in rare cases if women are
    not there in the family]

    b)

    Present residential address

    c)

    UID No

    d)

    E.I.D.No.(If UID is not available)

    e)

    Contact Number

    f)

    LPG connection

    g)

    Name of the LPG Agency

    h)

    If possessing, LPG Consumer


    Number

    i)

    Name of the Oil Marketing Company

    j)

    Details of Family Members

    S.
    No

    Name of the Family Member

    Yes/No

    Indane/ HP/ Bharath

    Relationship of the
    Family Member

    U.I.D.No./E.I.D.No.

    1
    2
    3
    4
    5
    6
    k) Description of Documents:

    ____________________________________________________

    DECLARATION
    I solemnly affirm that the particulars given above are true and correct

    Signature of the Applicant/


    Thumb Impression
    _______________________________________________________________________________________________
    ACKNOWLEDGEMENT
    Circle No:
    Name:

    F.P. Shop No.

    Sl. No.

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