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Bank H.O./C.O ……………………………………………….. …

Please Tick ( ) One of and any one of Number 2 1 Male Female 2 Gen SC ST OBC Minority Ex-Serviceman PH HBA .. Bank .. (Application Form cum Receipt for claiming "Govt. Subsidy" from for Khadi & Village Industries Commission / Board /DIC by beneficiary and Bank - (TO BE FILLED IN BLOCK LETTERS OR TYPED) From:- Full Postal Address of the Branch The Branch Manager, ..Branch State:.. Ref. No. Date:- _____ To The State / Divisional Director Khadi and Commission ORThe Chief Executive Officer _____ State/UT KVI Board _____ ORThe Director of Industry, _____ _____State (THROUGH THE FINANCING BANK's NODAL BRANCH) Sub:- Payment of "Govt.)

Please Tick ( ) One of No.1 and any one of Number 2 1 Male Female 2 Gen SC ST OBC Minority Ex-Serviceman PH HBA ...

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