Application for Surrendering Digital Ration Card Form 7 PDF Download

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Form: VII-R (Application form for surrendering Ration Card NFSA/RKSY Eligible beneficiaries’ List)

To
The Inspector Food & Supplies,
……………………………………..…. Block, District ………………………………………

Sir,
I would like to request you to please exclude My name/ Name of my family member name from Rajya Khadya Suraksha Yojana (RKSY) / National Food Security Act (NFSA) List.

Block – Gram Panchayet – Enumaration Block No.-, Village Samsad – Village – Mouza – Mobile no. (of any family member) –

*If surrender application submitted due to death of any family member, please mention date of death. Submission of death registration certificate is mandatory.

Signature of Applicant

Reason for Surrender –
i. Motorized Two / Three / Four Wheelers / Fishing boats (which require registration).
ii. Mechanized Three / Four wheeler agricultural equipment such as tractors, harvesters etc.
iii. Kisan Credit Card with the credit limit of Rs. 50,000 and above.
iv. Households with any member as Government Employee : Gazetted / non-gazetted / Central / State Government / PSU government-aided autonomous bodies and local bodies.
v. Households with non-agricultural enterprise registered with the Government.
vi. Any member in the family earning more than Rs. 10,000 per month.
vii. Paying income tax or professional tax.
viii. Households with three or more rooms with all rooms having pucca walls and pucca roof.
ix. Owning refrigerator.
x. Owning landline phones.
xi. Households owning 2.5 acres or more irrigated land with at least one irrigation equipment such as diesel / electric operated bore well / tubewell.
xii. 5 acres or more land irrigated for two or more crop seasons.
xiii. No Deprivation
xiv. Death of family member