Milan Mancha

Application Form

Name of the Applicant:

Father's Name:

Mother's Name:

Guardian's Name:

Contact No.-

Alternate Contact No.-

Email Id.-

Date of Birth.-

Age-

Gender-

Nationality.-

Social Category.-

Aadhaar No.

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Present Address:-

Vill:

P.O.-

P.S.-

Dist.-

Block-

Pin.-

Permanent Address:-

Vill:

P.O.-

P.S.-

Dist.-

Block-

Pin.-

I hereby declare that information given above is true to the best of my knowledge.Any information to be found incorrect/false/wrong,I shall be liable for suitable action.

Application Form

Present Address:-

Permanent Address:-

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