Member Surrender under National Food Security Act (NFSA)

Old Residential Address
New Present Residential Address
New Permanent Residential Address
Duration of Stay in the Present Address
Please provide FPS details from where you are taking PDS items or want to take if you dont have RC

SK Oil
Sl No. Full Name Gender Date of Birth Relationship with eldest lady of the family EPIC No Aadhar No Aadhar Enrollment No Father Name Spouse Name Special Case(If Any)