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REGISTRATION FORM

NAME:.

DATE OF BIRTH:. FIXFIX

AGE. SEX.

FATHERS NAME

QUALIFICATION. SELF ATTESTED PHOTO

OCCUPATION

POSTAL ADDRESS..

..

CONTACT NUMBER.

ADHAR NUMBER/VOTER I.D NUMBER

SIGNATURE

ONLY FORE OFFICE USE

ENROLEMENT No
NAME:
DATE OF BIRTH:
AGE. SEX

DATE:. SELF ATTESTED PHOTO

SEAL & SIGNATURE OF AUTHORITY