KAKKODI MAHALLU JUMA-AT PALLI PARIPALANA SANGAM

On line Home Registration form

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NAME :                          D.O.B:                            Sex       Male Female

TELEPHONE No :         E MAIL ADDRESS:     

NAME OF HOUSE:       PLACE:                        

POST:                             DIVISION:                   


QUALIFICATION:       OCCUPATION:  INCOME: 

TYPE OF HOUSE:     

NAME OF MOTHER:    NAME OF FATHER:          

SOCIAL SERVICE
Politics Mahallu Services Islamic Organaisation Sannada pravarthanam Service
HOUSE OWNERSHIP
OwnRentColony
HOUSE FECILITIES
Electricity Gas Well Public tap Public well Water suply
Tlephone Computer Internet

Details of Your family and name of childrens etc

            

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