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DETAILS OF FIRST SCHEDULE FORM PART 1

* Fields are mandatory
Society Title*
Register Office At*
Post Office*
Thana
Town/Panchayat
Block
Sub Division
District

APPLICANT REGISTRATION FOR PART 1

Applicant Code
Applicant Name
Father’s Name
Occupation
Age
Perm Addr
Present Address
Is Member other society?
If you are from other Society then fill Society Details
Society Name
Society Address
Signature/LTI