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(Application Form D)

 

 

 

Government of Jammu and Kashmir

Consumer Affairs & Public Distribution

Kashmir

 

Sub:-Obtaining of Ration Cards by the un-covered (Left-out)/bifurcated  families.

 

 

Notice

 

       Applications for obtaining Ration cards on the prescribed form (Form D) forming annexure to this notice are invited from the desirous un-covered/left out families as well as existing PDS rationed families of Kashmir Division including Leh and Kargil who are desirous of splitting/bifurcating their existing ration cards on account of separate family units.

        The prescribed application form (Form D) shall also be available on the departmental website(www.capdkashmir.nic.in).

 How to apply?

       The desirous person will submit the prescribed form duly filled in to the Storekeeper (Ghat Munshi) of his concerned area.

Last date for submission of prescribed form:-

       The last date for submission of prescribed form will be 31st of May 2012.

Verification of application form.

        The application for obtaining ration cards received in the department shall be subject to verification by the Committee constituted for the purpose.

 

 

 

 

Sd/-

Director

Consumer Affairs & PDD

Kashmir

No:- DCAPDK/Plg/LOB/482                  Dated:-26/04/2012.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Government of Jammu and Kashmir

Consumer Affairs & Public Distribution

Kashmir

Annexure                                                                                                       

Declaration Form (Form D) for obtaining Ration Card underuncovered( Left out)/bifurcated families:

  1. Text Box:  
  
Photograph to be  attested  by TSO CA&PD



Name of the Applicant:- ______________________________________________
  2. Father’s Name:- _____________________________________________________
  3. Residence:- _________________________________________________________
  4. Halqa:- ____________Village _______________ Mohalla _________________
  5. Tehsil:- ________________________;___________________________________
  6. District:- __________________________________________________________
  7. Occupation:- ______________________________________________________
  8. Monthly Income from all sources:- _________________________________

9.    Details of family members:-

S.No

Name

Age

Occupation

Relationship with applicant

Particulars of the existing ration Card from which the split is sought including House No.  

1

 

 

 

 

 

2

 

 

 

 

3

 

 

 

 

4

 

 

 

 

5

 

 

 

 

6

 

 

 

 

7

 

 

 

 

Certified that the above mentioned information is true and correct and nothing has been concealed. In case the information given above is found incorrect, the department shall be at liberty to take any action under rules against me.

 

 

Signature/thumb impression of the applicant

Certified that:-

  1. The income declared by the applicant is correct
  2. The applicant has an independent Family /Chulla

 

                                                                                     Seal & Signature of MP/MLA/MLC/                                             Sarpanch/Numberdar/Councillor (Concerned)

Place:-

Date:-

---------------------------------------------------------------------------------------------------------------------

Verification Report of TSO/Patwari/Sarpanch/Concerned Storekeeper

 

            Verified and found that the applicant is eligible/ineligible for obtaining ration card under uncovered (left out)/bifurcated family. In case of ineligibility the reason in short may be spelt out. ___________________________________________________________________________

 Seal and signature:-

 

Storekeeper                                                   Patawri                                              TSO

 

________________________________________________________________________________________________________

Acknowledgment

Received Declaration Form from ________________________  S/o/W/o/D/o _______________________________                           

R/o  ____________________ Tehsil _____________________District ____________________

 

 

 Signature of Storekeeper

 



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