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(Asterisk (*) mark fields are the required fields.)

*First Name Middle Name Last Name
*Age *Father Name *State
*District *Block *Post
*Village Phone No. Pin
*Nominee Name *Land of possession *Annual Income
Mobile Number *Computer Knowledge Email
*Qualification *Experience(in terms of managing any such affair) *KPK Location
*KPK Village
Village1 Village2 Village3
Village4 Village5 Village6
Village7 Village8 Village9
Form Filling Date :  04252019
Important Instructions: Please wite your receipt no behind photo, form and all attached photocopies.
  All Data is Correct.
  White Receipt (Original)
  Three Passport Size Photograph
  Age and Residance Proof
  Higher Education Certificate
  Yes, I accept all the Terms and Conditions of the site.
  Yes, I accept the Payment condition of the site.
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