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M Ñfhu RH W É©z G /authorization Form Application
M Ñfhu RH W É©z G /authorization Form Application
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rh‹W / Certificate
nk‰f©l fhuz¤Âdhš vdJ FL«g m£il¡F cça m¤ÂahtÁa¥ bghU£fis bgw eh‹ nk‰F¿¥Ã£l
ÂU/ÂUkÂ__________________________________ j/f/bga® _________________________ v‹gtiu
ãaä¡»nw‹. Ïš VnjD« KiwnfL ãfœªjjhf f©l¿a¥g£lhš vdJ FL«g m£il m¤ÂahtÁa¥ bghUŸ bgw
Koahjgo Kl¡f« brŒa¥gL« v‹gij m¿nt‹. nkY«, vdJ FL«g m£il¡F v‹Dila gÂÎ brŒa¥g£l miy¥ngÁ
v©â‰F tU« xU Kiw fl΢ brhš _y« m¤ÂahtÁa¥ bghUŸ tH§f¥gL« v‹gij m¿nt‹. I hereby authorize above
mentioned person Mr/Ms.____________________________________________ S/W/o_____________________________ to draw the
entitled commodities from the FPS. I know that, my family card will be suspended if I misuse my family card for getting commodities.
Further, I understand that the commodities will be issued to my ration card based on the One Time Password received in my registered
mobile number.
é©z¥gjhu® ifbah¥g«
Signature of family card holder