Price: ` 1

Conversion of White Card to Pink Card Conversion of White Card to Pink Card

Ration Card Transfer Application Form

Request Details
Ration Card No*:

Card Transfer Details

House No. to be changed*:

Landmark/Locality/Colony to be changed
changed*:

District to be changed*:

Mandal to be changed*:

Ward/Village to be changed*:

Pin code to be changed *:

Proof Document 1 of Card Transfer

Transfer*:
Affidavit

Certificate from Present FP shop for Commodities not lifted

Self Declaration
Proof Document 2 of Card Transfer
Transfer*:
Driving License
Rental Agreement
Electricity Bill

Bank Pass book
LPG Receipt
Notary
Telephone Bill

Informant Details
Informant Name*:

Relation*:

Mobile No*:

Delivery Type*:

Reason for Ration Card Transfer*:

Old Ration Card Collected from the Applicant

Applicant*:
Yes
No

Documents List
(NOTE: 1. All Upload Documents should be in PDF Format only 2. Each file should not exceed 50KB)

1. Application Form*

2. Affidavit/Self Declaration/Certificate from Present FP shop for Commodities not lifting:*

lifting:

3. Driving License/Rental Agreement/Electricity Bill/Bank Pass book/LPG Receipt /Notary /Telephone

Bill:*

Applicant’s Signature