GOVERNMENT OF NATIONAL CAPITAL TERRITORY OF DELHI

DEPARTMENT OF FOOD, SUPPLIES & CONSUMER AFFAIRS

‘K’-BLOCK, VIKAS BHAWAN, NEW DELHI-110002
Website: http://fs.delhigovt.nic.in
Photo of
(Application Form for NFS Ration Card) Applicant

1. Old Ration Card No (If any)......................... 2. Mobile No................................

3. Name of Applicant...................................... 4. Form No..................................
(Eldest female of Family)
5 Nationality ................................. 6. Occupation..............................................
7. Permanent Address.........................................................................................
.............................................................................................................................
8. Annual income of Family.................................................................................
1. Eligibility Category............................................................ (Please see overleaf)
2. Complete Detail of applicant and family members (in the first row applicant fill his/her
details, and for additional members please use extra sheet.
Sr Name of applicant Gender DoB Name Name of Relationship Aadhaar No.
. (Male/Female) (DD/MM/YYYY) of father/ with HoF (If Aadhaar
No mother Husband No. is not
. available then
enter EID No.
1. Self
2.
3.
4.
5.
6.
7.
3. Enclosures:-
(a) Copy of Aadhaar No./EID No. of each member
(b) Proof of address (if the address is different from the Aadhaar Card)
(c) Income Certificate (If applicable)
(d) Electricity bill of the address mentioned in the application.
Declaration: -
I hereby solemnly affirm and declare that all the information given above is correct.
2. I am citizen of India
3. I and above mentioned family members are permanent resident of Delhi and their
names are not in the Ration Card of any state.
4. I will not use this card for any purpose other then availing specified Food articles.
5. Any member of my family does not possess any four wheeler or more than four
wheeler vehicles.
6. There is no connection of more than two kilowatt at my house.
7. Any member of my family is not an Income Tax payee.
8. There is no house or land of mine and my family members in A to E category of
MCD colonies.
9. I and any member of my family are not working on any post of the
Centre/State/Local Bodies or autonomous bodies of Centre or State Govt. etc.
10. I and any member of my family are not availing any ration or food subsidy from
Govt. scheme.
11. I also declare that if above mentioned information is found false or incorrect then I
will be responsible for any Punishment or Penalty and cancellation of Ration Card
under essential commodities Act 1955.
12. The UIDAI information of mine and above mentioned family members can be used.

Name of Applicant Signature of Applicant

..................................................................................................................................................
Department of Food, Supplies and Consumer Affairs, Govt. of NCT of Delhi.

Receipt
Received from Sh./Smt.___________________________ on dated _____________ the application form
for new Ration Card under the National Food Security Act, 2013.

Stamp of Circle_____________ Signature (Desk Assistant)

 GUIDELINES AND INFORMATION FOR FILLING THE FORM

(1) As per NFS Act, NFS ration card is to be issued in the name of eldest female
member of the family.

(2) If you are related to any of the under given categories, you are eligible for
inclusion in NFS Scheme. Your form will be accepted after detailed investigation.

Fill any one of the following in category (Column No. 9)

(i) Slum dweller;

(ii) Resident of F, G &H category of resettlement colonies;
(iii) Dweller of notified populated village area;
(iv) Homeless;
(v) Transgender;
(vi) Disabled person (Disabled persons producing disability certificate under
Equal Opportunities, Protection of Rights and full Participation Act
1995);
(vii) Single woman (dependent on other) including widow, unmarried,
separated women;
(viii) Unassisted/Destitute Children;
(ix) Professionally weaker groups which include Rag pickers, unskilled labour
in building construction, coolie, daily wager, unregularised domestic
servants, Rickshaw puller, unskilled labour in small and cottage
industries;
(x) Other families having annual family income less than Rs. 1,00,000/-

(3) Your forms is liable to be rejected due to the following reasons :-

(i) If any of the family member possess light weight or heavy weight four
wheel vehicle (One Commercial vehicle for livelihood will be excluded)
(ii) If any of the family member has house and land in A to E category in
Delhi.
(iii) If any of the family member is availing ration or food subsidy in any of
the Govt. schemes.
(iv) If any of the family member is Income Tax Payee.
(v) If any of family member is working on any Posts in Central/State/Local
Bodies or autonomous bodies of central/state Govt. etc.
(vi) If the electricity connection of the family is more than 2 kilowatt.

(4) Documents to be attached with the application:-

(i) Copy of Aadhaar Card/EID of all family members.

(ii) Copy of proof of address of the applicant, if the address given is the form
is different from the address given in Aadhaar Card. No Address Proof is
not required from shelter less persons.
(iii) Income certificate issued by Revenue Department if required
(Income Certificate is not required for the persons in category (i) to (viii) of
the points No. 2 of guidelines).

(5) Place of submitting the application:-

Duly filled application form alongwith the enclosures should be submitted to the
concerned circle office or GRC centres.