Professional Documents
Culture Documents
Mention the name / Father’s Name Mother’s Name Gender EPIC no. Date of Name of the Head of the NFSA / Type of State the relation between State reason for non inclusion in the
names of the or Birth / family / member of the RKSY Card Card head of the family or the NFSA/RKSY list ( in case of new born
members of the Aadhaar no. Age family who possesses the no. (AAY / other card holders and the baby/ change of places due to
family for whom (as on card of NFSA / RKSY PHH / persons for whom card is marriage/non enlistment in the SECC
Ration card are being 1st SPHH / being sought for (i.e. list/ in case of other reasons, state in
sought for January RKSY-I relation with the persons details) *
of / as mentioned in column
current RKSY- no.5 & column no.1)
year) II)
* In case of new born baby / change of place due to marriage or any other reason – birth registration no. or birth certificate or Card surrender and transfer certificate are mandatory.
____________________
Signature of Applicant