Bihar Ration Card New Application Form

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

q(rd rfi-

al-o *sr d qfufiR qfufrqq d lrflfd Tqr {rqr{ 6rg d fuq .frri-{r Tt
(q$q era qqefi iT&ftqq zora (Ernr-s) aqT afsd €rffi-ro ftrfiq c"r& (fi-€ur) 3{dn 2015
-(okor s fl sc6B6r rg. ta ogn oftot + sq6fu6r z, e, e Eqq)

1. snieo or crq wffio qH


2. 3llqtT/ EtD no

3. Naco-
oTri{tn d qfr,/ft-dr ltr nrq
ryf err+r$o v-ct

6. *o eT trsc code

7 *o qrat 'io
8. +ft irrn sngr 6't qrq
L qBn or€ d fug qR-4{ d srq s{dt 6r ifi{ur
FO qB,/Fldr oT qrq fti.T gs {..IEI
fu4ld

1 2 3 4 5 6 7
qtllq/ EID no ffia'io 449rq,/Sqr sTrr{ff 6T qrfuo erq

8 9 10 11 12

ro. 'Jrfr"r *i d efi}eo qqfrfoT q{ Ei,/{&, qr fo aqri ,-


(i) +g{ qIfufr FrqFqr,zqn qFF{r sr6-{ t. Ei E Tdt E
(ii) qrft{ srfufl ffi,/qR vRcn ard qR erow t. d E r€t E
{iii) st-6R li r6-q( nr-eR sd'r srd qR-fi qffi.I6eff t, d E T€t E
1iv,) vR-on d ftffi ses +1 qrko enq 10,000/- so * srf6 t. Ei E Tfi fl
(v) s|{61 id *, d Erfr E
rvi) c{]q{rltts6 6t 6r grrdFl 4-{d B. Ei E T€t E
(vii) fuq q-6r+ i qed t, ss qon { erff 6qt d qqdl ffi eiq ua + qpr fir qqrEr 3rfo6
o-qrr B. d fl trl
(viii) qftqn d oq t oq \'o Rd sqq'qur d qrrr z.s \16€ sletiiT {sd olfu6 Rifud qfr t. d
T8E E
(ix) d 3Tarqr s$S 3IDtr tFFfr +fiq d ftc s !6S 3lelqr $str erfus fiifod $ strff '|{{an t,
d T€t - -
(x) Tq t oq qfi Risr{ sq6{sr d €pr 6q R 6q 7.s v6s qenxr gse 3rD-r $ srd Tflen
i.d Tfi E
(xi) orico oerq qrieo d qftqn or ot{ lr<*q srorft *qr n t d E TS E
erR t d swftl fd-.ri,q -
(6)tu-q+flnd-
(s) rd q-E*enRd B -
(T) fuT{r qrftrfi 3flT{fi t -
rr. qrr0 da d sTri{+ frqfrfud qr 3{rqlqo-drEsrq d,zrft, qr Eo a'nA:-
(D cTTliF{ orET ?6-{i e, d - €i
(iD oniEo olerar oirnd-o' + cR-+R 6T- olg sdw q,f o. s'f s. q,t .T \ti a.f q 4lfi S s{6rfi
+sr (3qoqrfr,/3r10 q{qlfr + q{F 'q d 6fi 61 B'}c-6r) it ?, ri T€i E
srrR fl s{Tsr fffi"r -
(o) tuq*q tt -
(s) 6d q{tanRd *
e
(iiD
fu-fir crRr6 orrcrfff A
(.r)
-
q+stfoo oc arET di? t, d E TS f:l
riv) d-c 6ql qT ss$ 3lfufi (qtrr) ffie Edgfi T6|q 4d 'F-{an
S €"i d €rF-d n t' d
(v)
{fiEn ai .fE E
qnqt* +-A* sdi-s or qrfuo e{|q 2o,0ool- so * 3IF6 t, d
;"i\ d qtrqr qrrq. ffics dql qrRiq qei-{ frt sq-oq i, d E {€t fl
(vii) rFteff t qn qRqr qrrc t, d E
'rfr n
lviiir rpreff n srfirrr qrft{ t. ii E
T& E
F{i6 sTr+@ 61 6wrefi/3[.!i 6l frYrrl
Te[{

elsqr
*(ffi cw {fu snE<c qt *i gs+
i ftfd 'r{ qfi-qEfu{i s&daqdrrr'rd
r+trc ce drEon
od qrw orC d ftc 6tt sntct q* ifi ftql ts | 3r'rr 3Tri{r-ct i frfud FIg qrq-

$rcr t, + S -sr€-6,/ oltfi ofu tnr q,-.1 *dizn t

q'r+<-6 or FFrelq,/dTB 6T F-crrc


TgIFT

qH-6-drqrq
'Freft d 3rf,rfd -
infc< va --trEa 5 ca-qd 5
sffiqd 4r 6Rvl -

You might also like