1. Full Name of the Card holder 2. Father Name of the Card holder 3. Occupation details of the Card holder 4. Organization details, where he/she works 5. Name & Address of the 6. If rented, then Name of the Owner Application Form for Ration CardFORM -2JHARKHAND GOVERNMENTFOOD, PUBLIC DISTRIBUTION & CONSUMER AFFAIRS DEPARTMENT Published on National Portal of India (india.gov.in) Particulars to be Furnished by Applicant 7. Name & Address of the Shopkeepe 6. Date of Birth proof of age to be enclosed 7. Educational Qualification with percentage of marks Card No. Holding No. Previous Card No. (if any) Yes No Yes No Date: Signature of Applicant Duplicate Signature of Applicant 4 321Relationship with the head of the household Approx. Age NameSl. No. Card Details:Published on National Portal of India (india.gov.in) I declare that no ration card has been issued in the name of me and any of my family members. In my information and confidence I could say this that above mentioned information is correct and true. If any ration card has been found in the name of mine and any of my family members then in this case I will be responsible for any inconveniences