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