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KAKKODI PERUNTHOTTATHIL FAMILY

On line member 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:           NAME OF GRAND FATHER:   

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SOCIAL SERVICE
Politics Mahallu Services Islamic Organaisation Sannada pravarthanam Service
HOUSE OWNERSHIPOwnRentColony 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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