56 Sir, The names of the members, as noted here-in-under has appeared in the Rajya Khadya Suraksha Yojana (RKSY) / National Food Security Act (NFSA) List. I / We apply for change of the Fair Price Shop (FPS) as recorded in the Ration Card. Ward No. Corporation / Municipality- Enumeration Block No. Address - Mobile No. (of any family member) - PART-I : FPS shifting for all members of family Name of the beneficiary Card no. Type of Card (AAY/PHH/ SPHH/ RKSY-I/ RKSY-II ) Father’s/Husband’s name Name of the Head of the family Mention the name & no. of Ration Shop as recorded in the Ration Card Mention the name and no. of the Dealer of the Ration Shop of your Choice / Preference Reason for change of Ration Shop OR PART-II : Change of FPS due to shifting of a member from one family to another family due to marriage etc. Name of the applicant Ration Card no. of the applicant Type of Card (AAY/PHH/SPHH/RKSY- I/RKSY-II ) Ration Card no. of Head of the Family where the applicant has been shifted Relationship of the applicant with of Head of the Family where shifting is requested PART-III : Change of FPS for shifting more than one member to a new address