Application Form For Renewal of Ration Card (BPL)


APPLICATION FORM FOR RENEWAL OF RATION CARD (BPL/AAY/ANNP/SWS)


To
            The District Supply Officer,
East Kameng District,
Seppa (A.P.)

Sir,
            I would like to inform you that APL/BPL/AAY/ANNP/SWS ration card bearing No.__________________ will be expired on ____________________.
            Therefore, I am to submit herewith the above ration  card for further renewal please.



Name & signature of Applicant




RECEIPT


(APL/ AAY/ ANNP/ SWS/ BPL)  R/C


    RENEWAL/ NEW

Name of R/C holder ______________________________________________________
Name of FPS ___________________________________________________________
Delivery Date _________________________________At (3.00 P.M.).






Signature of D.A.

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