57 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 * Name of FPS where shifting is applied for *Please write “Head” against Head of the Family. __________________ Signature of Applicant -----------------------------Return this portion to the Applicant-------------------------- The application form VI-U (for Change of Ration Shop in respect of families already Included in NFSA/RKSY eligible family list ) has been received from Shri / Smt……… …………………… Address…………………………………, Ward no. …………………. Signature of Authority (with Seal) Government of West Bengal Form: VI-R (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) [see clause 12A] To The Inspector Food & Supplies, ……………..…………………. Block, District ……………………..…………………… Sir,