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Name of Chairman's & Members |
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| 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 |
| Atish Kumar Rout |
A. C Rout |
HIG-139, K-5, Kalinga Vihar, Patrapara, Bhubaneswar, Odisha |
9437107039 |
|
No |
N.A. |
| Shailja Rout
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