Apply for New Ration Card under NFSA
Address Details
Ration Card & FPS Details
Details of Family Members of Applicant
Other Info
Present Residential Address
District
*
Select District
Block/ULB (City)
*
Select Block
GP/Ward No.
*
Select GP/Ward No
Village/Area
*
Select Village/Area
Plot No./ Qtr No.(for ULBs)
*
Pincode
Click If Permanent Residential Address is same as Present Address
Permanent Residential Address
State
*
Select State
District
*
Select District
Block/ULB (City)
*
Select Block/ULB
GP/Ward No.
*
Select Block/ULB
Village/Area
*
Select Block/ULB
Plot No./ Qtr No.(for ULBs)
*
Pincode
Duration of Stay in the Present Address
Year
*
Month
*
Next
RC Type
--Select--
AAY
APL
BPL
Please provide FPS details from where you are taking PDS items or want to take if you dont have RC
Rice
FPS Name
--Select--
FPS Code
Wheat
FPS Name
--Select--
FPS Code
SK Oil
FPS Name
--Select--
FPS Code
Which Combination of food grains do you want in PDS(5 kg per individual per month)
*
--Select--
If you want to change your FPS, please give the code of proposed FPS
--Select--
If you want to change your FPS, please give the code of proposed FPS
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Sl#
Full Name
Gender
Date of Birth
Relationship with eldest lady of the family
EPIC No.
Aadhar No.
Aadhar Enrollment No.
Father Name
Spouse Name
Action
Applicant Name
*
--Select--
hidden label
Delete Family Member
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Distribution Company
Electrical Division
Electricity Consumer No.
Electricity Connection Owner
hidden label
Oil Company
LPG Distributor
--Select--
LPG Consumer No.
LPG Connection Owner
Proof of Residence
Proof of Identity
Mobile No.
*
Name of Mobile Owner
Auto Inclusion Criteria
Auto Inclusion Criteria Proof
AI Member
Bank Name
*
Bank IFSC Code
A/C No.
A/C Holder Name
ମୋର ପରିଚୟ ପ୍ରତିଷ୍ଠା ଉଦ୍ଦେଶ୍ୟରେ
ଆଧାର ଆଧାରିତ ପ୍ରାମାଣିକରଣ ପାଇଁ ମୋର ଆଧାର ନମ୍ବର, ବାୟୋମେଟ୍ରିକ୍ ଏବଂ / କିମ୍ବା ୱାନ୍ ଟାଇମ୍ ପିନ୍ (OTP) ତଥ୍ୟ ପ୍ରଦାନ କରିବାକୁ ମୁଁ ସମ୍ମତି ଦେଇଛି।
मैं अपनी पहचान स्थापित करने
और ऑनलाइन दावा प्रस्तुत करने के उद्देश्य से आधार आधारित प्रमाणीकरण के लिए अपना आधार नंबर, बायोमेट्रिक और/या वन टाइम पिन (ओटीपी) डेटा प्रदान करने के लिए सहमत हूं।
I hereby consent
to provide my Aadhaar Number, Biometric and/or One Time Pin (OTP) data for Aadhaar based authentication for the purpose of establishing my identity.
*
