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JHARKHAND GOVERNMENT
FOOD, PUBLIC DISTRIBUTION & CONSUMER AFFAIRS DEPARTMENT

Application Form for Ration Card

FORM -2
Particulars to be Furnished by Applicant

1. Full Name of the Card holder

2. Father Name of the Card holder

3. Occupation details of the

Card holder

4. Organization details, where

he/she works

5. Name & Address of the

Card holder

6. If rented, then Name of the

Yes No
Owner

7. Name & Address of the

Shopkeeper

6. Date of Birth proof of age to

be enclosed
7. Educational Qualification with
percentage of marks

Card No.

Holding No.
Previous Card No. (if any) Yes No

Published on National Portal of India (india.gov.in)

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Card Details:

Approx. Relationship with the head of

Sl. No. Name
Age the household

I declare that no ration card has been issued in the name of me and any of my family members. In my
information and confidence I could say this that above mentioned information is correct and true. If any
ration card has been found in the name of mine and any of my family members then in this case I will be
responsible for any inconveniences

Signature of Applicant Duplicate Signature of

Applicant
Date:

Published on National Portal of India (india.gov.in)