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Reference no : Received on : Processed on : Due date : |
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Name :
e-mail : |
Address
:
Pin : |
Tel. :
(O) Tel. : (O) Tel. : (R) Tel. : (R) Fax : Mobile: |
| Which info should be displayed for communication (Tick one to be displayed): e-mail-Name-Address-Tel(O)-Tel(R)-Fax-Mobile | ||
Please take xerox of a this format as one is for one family |
| Head of small family, Name : Father / Husband Surname | |||||
| Name Nick Name |
Relation | Birthday DD/MM/YY |
Anniversary DD/MM/YY |
Occupation | |
| Self | |||||
| Family information : | |||||
| Spouse | |||||
| Son/Daugh | |||||
| Son/Daugh | |||||
| Son/Daugh | |||||
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Authority Letter |
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| ______________________
(
_____________________ )
Authorised Signatory |
Matter
should be given on a separate paper if space here is insufficient & it should be
signed by the promoter or co-promoter. Photos : Caption of the photo along with signature of a promoter or co-promoter should appear at the back Individual , Family, Group, Picnic, Creations etc. |
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Indo Info Services, E-Mail: info@indoin.com, Tel.:+91 9322511319 |
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