Application for Inclusion of left out members of a family already having Form 44

Digital Ration Card( Both Rural & Urban Areas)

(* marked fields are compulsory)

Section A: Details of Head of Family (HoF)/ Any member having DRC

Section B: Details of new members applying for DRC (Aadhaar not mandatory for applicants below age of 5 yrs.)
Details of the 1st Applicant
Name of the Applicant*

Relationship with the Head of Family*

*

Date of Birth* D D M M Y Y Y Y Male Female Others

Aadhaar Number*
EPIC Number
Whether Person with Disability (PWD) Yes No
Details of the 2ndApplicant
Name of the Applicant*

Relationship with the Head of Family*

*

Date of Birth* Male Female Others

Aadhaar Number*
EPIC Number
Whether Person with Disability (PWD) Yes No
Details of the 3rdApplicant
Name of the Applicant*

Relationship with the Head of Family*

*

Date of Birth* Male Female Others

Aadhaar Number*
EPIC Number
Whether Person with Disability (PWD) Yes No
Section B: Address details
District*
Sub-division*
Block/Municipality/ Mun. Corp*
Gram Panchayat/ Ward No*
Village/Road/ Street *
Pin Code*
Post Office*
Police Station

You may also apply online. Visit www.wbpds.gov.in