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Name of Chairman's & Members

Name & Designation Father’s
Name
Address Mobile
No.
UID No. Whether member
of any other society/trust/
company
If answer of column 6 is yes, please furnish details
1 2 3 4 5 6 7
Er. Sanjib Kumar Rout Late Er. Bansidhar Rout Plot No.58,
P.O-Suryanagar,
Bhubaneswar,
Dist – Khurda
9861026829      
Shailja Rout              
               
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