Transcription of family membership certificate -Application Form
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family membership certificate -Application Form
family memberApplicant Details AADHAAR Card Number *:_____Applicant Name * :_____Gender*: Male Female Date of BirthPermanent Address: Door No : _____ Locality / Land Mark : _____ District*:_____Village / Ward *:_____Present Address: Door No : _____ Locality / Land Mark : _____ State*:_____ DistrictVillage / Ward *:_____Mobile * : _____E-Mail: _____ Remarks :_____ Ration card NO :_____ Delivery TypeDeceased Details: Deceased Name* : _____ father/Husband Date of Death (DD/MM/YYYY)* : _____Reason for Death* : Accident Floods / Cyclones / Thunder Bolt Collapse of buildings/Bridges Ill healthOccupation*: State Government Services Cooli Agriculture Labor Rickshaw Puller / Auto / Taxi / Lorry drivers/cleaners construction workers Working in factoriesRetired Employee Farmer Business ManAADHAAR Card Number: _____ Death place Aadhaar Enrolment Number: Format White to Pink Card family membership certificate -Application Form :_____ _____ Relation Name* _____Female Date of Birth* (DD/MM/YYYY): _____ Locality / Land Mark : _____ _____
Occupation *: State Government Services Cooli Agriculture Labor Rickshaw Puller / Auto / Taxi / Lorry drivers/cleaners construction workers Working in factories Retired Employee Farmer Business Man ... General Death Suicide Missing Murder Central Government Services Public sector under takings Building Fishing Other Occupations Handloom Worker ...
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