Application Form (tamil Version) For Ration Card

jkpH;ehL muR czt[ bghUs; tHA;fy; kw;Wk; Efh;Bthh; ghJfhg;g[j; Jiw FLk;g ml;il bgWtjw;fhd tpz;zg;gk; kz;lyk; / tl;lk;

tpz;zg;g vz; (fzpdp bjhlh; vz;)

tpz;zg;gjhuhpd; ifbahg;gk; (my;yJ) nlJif bgUtpuy; Buif (Fwpg;g[: tpz;zg;gj;jpid fUg;g[ ikapdhy; g{h;j;jp bra;at[k;.)

FLk;gj; jiythpd; g[ifg;glk; gh¡;Bghh;l; (5 cm x 3.5 cm)

1. tpz;zg;gjhuh; bgah; bgah; (jkpHpy;)

2. je;ij / fzth; bgah; bgah; (jkpHpy;)

3. KG Kfthp

bjhiyBgrp vz;:

bry;yplBgrp:

kpd; mq;ry;: khj tUkhdk; (U}ghapy;)

bjhHpy;

cwt[ Kiw

ehl;odk;

bgah;

ghypdk;

t. vz;

gpwe;j Bjjp

4. FLk;gj;jpYs;s egh;fspd; tptuA;fs; thf;fhsh; g[ifg;gl milahs ml;il vz; (18 taJf;F Bky; nUg;gpd;)

1 2 3 4 5 6 7 8 9 10 5. nizf;fg;gl;Ls;s MtzA;fs; (  of; bra;at[k;);: 1 giHa Kfthpapy; FLk;g ml;il bgw;W nUg;gpd; rk;ge;jg;gl;l ml;il tHA;Fk; mYtyhplkpUe;J bgwg;gl;l xg;g[tpg;g[ rhd;W (my;yJ) 2 bgw;Bwhh; my;yJ fhg;ghsh; FLk;g ml;ilapy; nUe;J bgah; ePf;fk; bra;jjw;fhd rhd;W my;yJ njw;F Kd; FoapUe;j nlj;jpy; FLk;g ml;ilapy; bgah; ny;iy vd;w rhd;W (my;yJ) 3 giHa Kfthpapy; FLk;g ml;il bgwg;glhky; nUg;gpd; rk;ge;jg;gl;l ml;il tHA;Fk; mYtyhplkpUe;J bgwg;gl;l ml;il ny;yh rhd;W tpz;zg;gj;ij rkh;g;gpj;jg;gpd; tpz;zg;gjhuh; tl;l/kz;ly mYtyfj;jpypUe;J bjhlh; vz;Zld; xg;g[jy; rPl;oid bgw;Wr; bry;y Btz;Lk;. MtzA;fSld; KGikahd tpz;zg;gA;fs; 60 ehl;fSf;Fs; tl;l tHA;fy; mYtyh; /cjtp Mizauhy; jPh;t[ bra;ag;gl Btz;Lk;.

6. Kfthp Mjhu Mtzk;: Kd; gf;fj;jpy; Fwpg;gplg;gl;Ls;s MtzA;fSld;; jw;Bghija Kfthpapy; tpz;zg;gjhuh;

vt;tst[ fhykhf trpj;J tUfpwhh;? fPH;f;fz;l Mjhu MtzA;fspy; VBjDk; xd;wpd; efiy nizf;ft[k; (mjpy; kDjhuhpd; bgah; / Kfthp nlk; bgw Btz;Lk;)

Mtz vz;

Mtzk; (  ) of; bra;at[k; 1. thf;fhsh; milahs ml;il 2. brhe;j tPlhf nUg;gpd; me;j tPl;od; brhj;J thp urPJ 3. kpd;fl;lzk; brYj;jpajw;fhd urPJ. 4. bjhiyBgrp fl;lzk; brYj;jpa urPJ. 5. tA;fp fzf;F g[j;jfj;jpd; Kd;gf;fk; 6. Foir khw;W thhpak; vd;why; mjd; xJf;fPL Miz 7. rikay; vhptha[ nizg;g[ tptuk; : m) rikay; vhptha[ nizg;g[ cs;sjh?; (  ) of; bra;at[k; : M) “Mk;“ vdpy; fPH;f;fhZk; tptuA;fis g{h;j;jp bra;at[k; tptuk; m) ve;j FLk;g cWg;gpdh; bgahpy; nizg;g[ cs;sJ? M) vhptha[ Efh;Bthh; vz;

Mk; / ny;iy nizg;g[ -1

nizg;g[ -2

n) vz;bza; epWtdk; (BPC / IOC / HPC) N) vhptha[ tHA;Fk;; Kfth; bgah; c) rpypz;lh;fspd; vz;zpf;if

1

2

1

2

8. tpUg;gk; (  ) of; bra;at[k; mhprp kw;Wk; midj;Jg; bghUl;fs; mhprpf;F gjpy; TLjy; rh;f;fiu bghUl;fs; vJt[k; bgw tpUg;gkpy;iy fhtyh; ml;il tdj;Jiw gzpahsh; ml;il 9. rhd;W: BkBy mspf;fg;gl;Ls;s tptuA;fs; midj;Jk; cz;ik vd;W rhd;W mspf;fpBwd;. ehd; jtwhd my;yJ cz;ikf;F khwhd jfty;fs; mspj;jpUg;gjhf gpw;fhyj;jpy; bjhpa te;jhy; FLk;g ml;il uj;J bra;ag;gLk; vd;gij kl;Lky;yhJ nd;wpaikah gz;lA;fs; rl;lk; (10 tJ kj;jpa rl;lk; ), 1955-d; fPH; vdf;F vjpuhf eltof;if vLf;fg;gLk; vd;gija[k; mwpBtd;. nlk;: ehs;: tpz;zg;gjhuh; ifbahg;gk; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - - - - - - - - - mYtyf gzpf;F kl;Lk; (for Office Use only) District Code

District Head Quarter?

Taluk Code

LPG :

Yes

Local Body Name

No

Oil Company

Place Code

Cylinders

Area Code

Dealer

Local Body Grade: VP / TP / Mcplty/ Corporation

Ward Code

Card Option :

Shop Code

Income (monthly) :

Street Code

Category

Pin Code

Old Family card No:

jzpf;if Ma;thsh; bgah;

General

Forest

Police

AAY

cjtp Mizah; / tl;l tHA;fy; mYtyh; bgah; :

jzpf;if Ma;thsh; Ma;t[ Fwpg;g[ : ifbahg;gk; cjtp Mizah; / tl;l tHA;fy; mYtyh; Miz: ifbahg;gk;

cjtp Mizah;/tl;l tHA;fy; mYtyfk; mspf;Fk; Britfis Bkk;gLj;JtJ Fwpj;J cA;fs; fUj;Jf;fis ehA;fs; tuBtw;fpBwhk;. gjpt[ bra;a mZFA;fs;:

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