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DOB
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General
O.B.C. (Other Backward Class)
S.C. (Scheduled Caste)
S.T. (Scheduled Tribe)
M.P/M.L.A
Govt. Employee(Above 50 yrs)
Local Body Employee
EX-Armyman & there department
Paramilitary Forces
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Special Category.
Handicapped
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Nominee Relation
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Father Name
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Bank Name
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Account No.
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Confirm Account No.
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I Hereby declare that information furnished above is true and correct in every respect and in case any information is found incorrect even partially the Authority shall be liable to rejected.