Name & Designation |
Father’s Name |
Address |
Mobile No |
UID No. |
Whether member of any other Society |
If answer of column 6 is yes, please furnish details |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
|
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– |
– |
– |
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|
– |
– |
– |