Tamil Nadu Govt Ration Card Change of Address Name Deletion Inclusion &Other Change Tamil Nadu Application Form

RATION CARD

கவ மற / பய நக / பய சத இதர ததககன வணப பவ APPLICATION FORM FOR CHANGE OF ADDRESS / NAME DELETION INCLUSION &OTHER CHANGE For Office Use Only

அட எ : Card No:

SCI (Zone) SCO (Zone) / SCO (Dist) SCI (Dist) SCO(State) Change of Address

கட றய எ : Shop Code No :

அந :

பந : உதவ ஆணயள உ.ப.வ.ம..ப.ற,

From:

To: Assistant Commissioner, Civil Supplies and Consumer Protection Department, .

(ப அடய கடசயக தத சயபட வபர) (Latest

Address appearing in family card should mentioned):

அய / Sir , ப: கவ மற / பய நக / பய சத இதர மறக Sub : Change of Address / Name Deletion / Name inclusion / Other Changes ******

என ப அடய பவ மறக / ததக பத ச தர ககற I request you to make the following changes changes / correction in my Family Card

கவ மற / Change Of Address: பழய கவ / Old Address :

தத சய வய கவ / New Address to noted:

தய இபடதகன ஆதர / Address Proof for New Residence :

பய நக / Deletion of Name : பய நக சய வய நப/வய / உறற

பய நக சவதகன கரண / Reason for deleting the Name:

 Name of the person to be deleted / Age / Relationship: 1. 2. 3. 4.

பய சத / Inclusion Of Name : சகப நப பய / வய / உறற / Name , Age

சபதகன ஆதர(பய நக ச/பற ச) : Proof for for Inclusion Inclusion ( Name Deletion Certificate / Birth Certificate Certificate )

, Relationship of Persons to be included : 1. 2. 3. 4.

இதர மறக – பய தத / எவ தத :

ததத இணகபட ஆதர வவர :

Other Changes / Name / Age / LPG Cylinder Correction :

Supporting Documents enclosed for Correction:

: