Get IN Form R.O.1

Form R.O. 1 Government of West Bengal Application for Family Identity Card/Ration Card The Enquiry Clerk will assist you how to fill up the form if you are in doubt over any of the entries. Name of the applicant. Residential address House No*. Flat No/Floor No*. Street/Road/Lane. in block letters Name and address of Landlord. Bariwala if you live in a Bustee Name of the Head of Family if applicant is not himself head of family. Please give the following particulars of the persons for whom Family Identity Card/Ration Card is required -Names in full of the members of If any Family the family for whom Family idenIdentity Card/ Relationship Immediately Name of father/husband tity Cards/Ration Cards are Ration was issued to the head of previous Age in case of married required including the name of the before has it the family address. woman applicant if he/sherequires a Family been surrendered Identity Card/Ration card. if so to whom N* B -To obtain or attempt to obtain a Family Identity Card/Ration Card by furnishing false information is to contravene the provision of clause 12 of the Calcutta Industrial Area Rationing Regulation 1964 or the calcutta Industrial Extended Area Rationing Regulation* 1964 as the ase may be. Such contravention is an offence under section 7 of Act 10 of 1955 read with paragraph 17 of the West Bengal Rationing Order 1964 punishable with imprisonment for a term which may extend to three or with fine or with both. Occupation Mainly rice or wheat eater Date of arrival Period of stay A. R* Shop No* desired* I solemnly affirm that the above statements are true to my knowledge/belief/information. F*I. C. /R*O. No* if any. Folio Serial No*. A. R*No*. R* O. 1 COUNTERFOIL Name of applicant. Address. LETTER OF AUTHORITY WHEN THE APPLICANT CANNOT TAKE DELIVERY IN PERSON I do hereby authorise. of. to recieve the relevant Card s and sign the reciept therefore on my behalf at my own risk and responsibility. Name of the applicant. Residential address House No*. Flat No/Floor No*. Street/Road/Lane. in block letters Name and address of Landlord. Bariwala if you live in a Bustee Name of the Head of Family if applicant is not himself head of family. Bariwala if you live in a Bustee Name of the Head of Family if applicant is not himself head of family. Please give the following particulars of the persons for whom Family Identity Card/Ration Card is required -Names in full of the members of If any Family the family for whom Family idenIdentity Card/ Relationship Immediately Name of father/husband tity Cards/Ration Cards are Ration was issued to the head of previous Age in case of married required including the name of the before has it the family address. Please give the following particulars of the persons for whom Family Identity Card/Ration Card is required -Names in full of the members of If any Family the family for whom Family idenIdentity Card/ Relationship Immediately Name of father/husband tity Cards/Ration Cards are Ration was issued to the head of previous Age in case of married required including the name of the before has it the family address. woman applicant if he/sherequires a Family been surrendered Identity Card/Ration card. if so to whom N* B -To obtain or attempt to obtain a Family Identity Card/Ration Card by furnishing false information is to contravene the provision of clause 12 of the Calcutta Industrial Area Rationing Regulation 1964 or the calcutta Industrial Extended Area Rationing Regulation* 1964 as the ase may be. .