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Conversion of White Card to Pink Card Conversion of White Card to Pink Card

Ration Card Transfer Application Form


Request Details
Ration Card No*:

Card Transfer Details


House No. to be changed*:
Landmark/Locality/Colony to be changed
changed*:
District to be changed*:
Mandal to be changed*:
Ward/Village to be changed*:
Pin code to be changed *:
Proof Document 1 of Card Transfer
Transfer*:  Affidavit
 Certificate from Present FP shop for Commodities not lifted
 Self Declaration
Proof Document 2 of Card Transfer
Transfer*:  Driving License  Rental Agreement  Electricity Bill
 Bank Pass book  LPG Receipt  Notary  Telephone Bill

Informant Details
Informant Name*:
Relation*:
Mobile No*:
Delivery Type*:
Reason for Ration Card Transfer*:
Old Ration Card Collected from the Applicant
Applicant*:  Yes  No

Documents List
(NOTE: 1. All Upload Documents should be in PDF Format only 2. Each file should not exceed 50KB)
1. Application Form*
2. Affidavit/Self Declaration/Certificate from Present FP shop for Commodities not lifting:*
lifting:
3. Driving License/Rental Agreement/Electricity Bill/Bank Pass book/LPG Receipt /Notary /Telephone
Bill:*

Applicants Signature

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