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Employees & Professionals Personal Information
Name:* Sur Name:    
Father's Name: Mother's Name: Wife/Husband:
Date of Birth: Club: Qualification:
Religion: Caste:* Group:
Mobile No.:* Res. No.: Caste Sl.No.:
Email ID: Blood Group: Employee:
Department: Designation:    
Present Address
House No.:* Street: Ward/Division:
Vill/Town:* Mandal:* District:*
State:* MLA Constituency:* MP Constituency:*
Permanent Address        (Same As Above)
House No.: Street: Ward/Division:
Vill/Town: Mandal: District:
State: MLA Constituency: MP Constituency:
Office Address
House No.: Street: Ward/Division:
Vill/Town: Mandal: District:
State: MLA Constituency: MP Constituency:
           
Political Party: Party Designation:
I am:* An Indian NRI    
House Type:* Own Rent    
Vehicle Type:* 2 Wheeler 4 Wheeler No Vehicle