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7/26/2019 Simplified Proforma Dated 26.5.2016 (1)
1/9
Simplified Proforma for Services under RTS Act. Service No. 96 (a) and (b) ckow BzH ;H;H^I
OAP (pYkgk g?BPB)Photo of
Applicant
fpB?eko dh
c'N'
1. Name of the Service/ ;/tk dk yso Rural / U rban Area
2.
Name of Applicant/fpB?eko dk Bkw
3. Name of Father/ fgsk dk Bkw
4. Name of Husdband/ gsh dk Bkw
5.
Age of Applicant/ fpB?eko dh T[wo
6.
Male/ Female/g[oP$fJ;soh
7.
Permanent Address/gZek gsk
8.
Correspondence Address/gZso ftjko bJh gsk
9.
Phone No./Mobile No.
c'B BzH$ wpkfJb BzH
10.
Correspondence e-mail/
JhHw/b nkJhHvhH
11.
Aadhaar card No. (Attach Copy)
12.
BPL No./rohph oyk sA j/mK dh ;uh dk BzH (ekgh
BZEh)
13. SC/BC/ GEN
n;H;hH$ phH;hH$ iBob
14. Husband/Wife alive or not?
eh gsh$gsBh fidk j?