Regd. No.

611/2011

SAI CLUSTER WELFARE ASSOCIATION

Saicluster Apartment
Shivajinagar Colony, Near Railway Station, Taranagar (Village), Seri Lingampally (Municipality), Hyderabad-500 019
Survey No: 47,47/A, 48/A, 49 to 52

www.saiclusterapartment611.blogspot.com

E-mail: saicluster@gmail.com

DECLARATION OF RESIDENCY DETAILS

House No:
Name
(Capital Letters)

S.No.

Phone/ Mobile No:

Age

Male/
Female

Owner/
Tenant

Vehicle Name/
Number

Occupation /
Office Address

E-mail:
Permanent Address

Proof of identity
(Please attach
a Xerox copy )

Any other
information

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DECLARATION

I. hereby declare that the above information and particulars are true and correct to the best of my knowledge.
Date:

Signature of the owner/ tenant

(Name:

47, 47/A, 48/A, 49 to 52

www.saiclusterapartment611.blogspot.com

E-mail: saicluster@gmail.com

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