50 To Sub Divisional Controller Food &Supplies…………………., / Rationing Officer,…………………… District - Sir, The names of the members, as noted here-in-under, have already feature in the Rajya Khadya Suraksha Yojana (RKSY) / National Food Security Act (NFSA) List. I /we apply for change of name / father’s or husband’s name / address in the Ration Card. Ward No. - Corporation /Municipality Enumeration Block No. - Address - Mobile No. (of any family member) – Name as recorded in the card at present Card no. Type of Card (AAY/PHH/ SPHH/ RKSY-I/ RKSY-II etc.) Name that requires to be recorded after correction Father’s or Husband’s Name that requires to be recorded after correction Address that requires to be recorded after correction I /We submit the following documents (s) for correction of name / father’s name / husband’s name / address. Birth Certificate/ Aadhaar Card/ Voter ID Card/ MGNREGA Card/Kishan Credit Card/Photocopy of the first page of Bank Pass Book/ Photocopy of the Driving Licence /Photocopy of Passport/ Ration card issued before January 2016 . __________________ Signature of Applicant ----------------------------------------Return this portion to the Applicant-------------- The application form V-U for Correction of Name & Address for one or more than one member of the already included families under NFSA/RKSY has been received from Shri / Smt…………………………………………,Address……………………………………, Ward no. …………………. Signature of Authority (with Seal) SCHEDULE-G3 Government of West Bengal Form: VI-U (Application form for Change of Ration Shop (FPS) in respect of families already Included in NFSA/RKSY eligible family List) (Please fill PART-I or PART-II or PART-III whichever is applicable)