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APPLICATION FORM

INSTRUCTIONS
1) It is compulsory to fill all the fields marked with *
2) In Native Place please fill the name of the village or town where the family originally hails from.
3) In Education mention degree like Matric, Higher Secondary, Graduate, CA/CS, Doctor etc.
4) In Occupation mention Business, Profession, Service, Housewife, Student etc.
5) In Nature of Business mention the type of business / profession or sector of service.
6) If number of members in the family are more than 12, fill the first 12 in this form and remaining members in another form. Mention in Remarks as CONTINUED FROM PREVIOUS FORM. In the directory, the whole family will be incorporated as one family.

Name (Head of Family)*   Surname*  
Fathers / Husband Name
Native Place *  
Residential Address
Address
Post Office*   Pin*  
City*   Dist*  
State*   Country
STD Code Phone
Mobile
Office / Shop Details
Company Name
Address
Post Office Pin
City Dist
State Country
STD Code Phone
Email*  
Remarks
Enter Details of All Family Members in the table below:
Sl

Member Name

Father/Husband Name

 Sex

Date of Birth DD-MM-YYYY

 Age    Education  Occupation Nature of Business/Service
01  
02  
03  
04  
05  
06  
07  
08  
09  
10  
11  
12  
 
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