Tamil Nadu Govt Ration Card Change of Address Name Deletion Inclusion &Other Change Tamil Nadu...

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RATION CARD கவ மாற / ெபய நக / ெபய ேசத இதர திதககான வணப பவ APPLICATION FORM FOR CHANGE OF ADDRESS / NAME DELETION INCLUSION &OTHER CHANGE அைட : Card No: For Office Use Only கைட றிய : Shop Code No : SCI (Zone) SCO (Zone) / SCO (Dist) SCI (Dist) SCO(State) Change of Address அந : From: (அைடய கைடசியாக தித சயபட வபர) (Latest Address appearing in family card should mentioned): பந : உதவ ஆைணயாள .பா....பா.ைற, To: Assistant Commissioner, Civil Supplies and Consumer Protection Department, . அயா / Sir , பா: கவ மாற / பய நக / பய சத இதர மாறக Sub : Change of Address / Name Deletion / Name inclusion / Other Changes ****** என அைடய பவ மாறக / திதக பதி தர காகிேற I request you to make the following changes / correction in my Family Card கவ மாற / Change Of Address: பைழய கவ / Old Address : தித சய வய கவ / New Address to noted: திய இபடதிகான ஆதார / Address Proof for New Residence : பய நக / Deletion of Name : பய நக சய வய நப/வய / உறைற Name of the person to be deleted / Age / Relationship: 1. 2. 3. 4. பய நக சவதகான காரண / Reason for deleting the Name: பய சத / Inclusion Of Name : சகப நப பய / வய / உறைற / Name , Age , Relationship of Persons to be included : 1. 2. 3. 4. சபதகான ஆதார(பய நக சா/பற சா) : Proof for Inclusion ( Name Deletion Certificate / Birth Certificate ) : இதர மாறக பய தித / எவா தித: Other Changes / Name / Age / LPG Cylinder Correction : திததி இைணகபட ஆதார வவர: Supporting Documents enclosed for Correction:

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Tamil Nadu Civil Supplies Ration Card Change Of Address Name Deletion Inclusion &Other Change Application Form.pdf Please download this for Civil Supplies Grievances Redressal Camps are being held in Chennai city every month for the redressal of public grievances regarding issue of new family cards, changes in the family cards,

Transcript of Tamil Nadu Govt Ration Card Change of Address Name Deletion Inclusion &Other Change Tamil Nadu...

Page 1: Tamil Nadu Govt Ration Card Change of Address Name Deletion Inclusion &Other Change Tamil Nadu Application Form

RATION CARD

�கவ� மா�ற� / ெபய� ந��க� / ெபய� ேச��த� இதர தி��த�க��கான வ��ண�ப ப�வ�

APPLICATION FORM FOR CHANGE OF ADDRESS / NAME DELETION INCLUSION &OTHER CHANGE

அ�ைட எ� :

Card No:

For Office Use Only

கைட �றிய�� எ� :

Shop Code No :

SCI (Zone) SCO (Zone) / SCO (Dist) SCI (Dist) SCO(State) Change of Address

அ���ந� :

From:

(���ப அ�ைடய�� கைடசியாக தி��த� ெச�ய�ப�ட வ�பர�) (Latest Address appearing in family card should mentioned):

ெப�ந� :

உதவ� ஆைணயாள�

உ.ெபா.வ.ம.�.பா.�ைற,

To: Assistant Commissioner, Civil Supplies and Consumer Protection Department, .

அ�யா / Sir ,

ெபா��: �கவ� மா�ற� / ெபய� ந��க� / ெபய� ேச��த� இதர மா�ற�க�

Sub : Change of Address / Name Deletion / Name inclusion / Other Changes ******

என� ���ப அ�ைடய�� ப��வ�� மா�ற�க� / தி��த�க� பதி� ெச�� தர ேகா�கிேற�

I request you to make the following changes / correction in my Family Card

�கவ� மா�ற� / Change Of Address:

பைழய �கவ� / Old Address :

தி��த� ெச�ய ேவ��ய �கவ� / New Address to noted:

�திய இ��ப�ட�தி�கான ஆதார� / Address Proof for New Residence :

ெபய� ந��க� / Deletion of Name :

ெபய� ந��க� ெச�ய ேவ��ய நப�/வய� / உற��ைற

Name of the person to be deleted / Age / Relationship: 1. 2. 3. 4.

ெபய� ந��க� ெச�வத�கான காரண� / Reason for deleting the Name:

ெபய� ேச��த� / Inclusion Of Name :

ேச��க�ப�� நப�� ெபய� / வய� / உற��ைற / Name , Age

, Relationship of Persons to be included :

1. 2. 3. 4.

ேச��பத�கான ஆதார�(ெபய� ந��க� சா��/ப�ற�� சா��) :

Proof for Inclusion ( Name Deletion Certificate / Birth Certificate ) :

இதர மா�ற�க� – ெபய� தி��த� / எ�வா� தி��த�:

Other Changes / Name / Age / LPG Cylinder Correction :

தி��த�தி�� இைண�க�ப�ட ஆதார வ�வர�:

Supporting Documents enclosed for Correction: