You are on page 1of 1

Price: ` 1

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

Deletion of Member in Ration Card Application Form


Request Details
Ration Card No*:

Member Deletion Details


Name DOB Relation Action
 Death  Others
 Death  Others
 Death  Others
 Death  Others
 Death  Others
 Death  Others

Informant Details
Informant Name*:

Reason*:

Relation*:

Mobile No*:

Delivery Type*:

Documents List :( NOTE:: All Upload Documents should be in PDF Format Only)
1. Meeseva Application
Application(Max size 50kb) *
2. Recent Photo(Max size 50kb) *
3. Document Proof for Member Deletion
Deletion(Max size 50kb)*

Applicant’s Signature

You might also like