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AP RAs. srarefta aera 2017 ‘ander wa ae @ fire ager / INSTRUCTIONS TO FILL UP APPLICATION FORM vara ae ‘GENERAL INSTRUCTIONS fe) arene Sr em 9) On capa tere shousbe uso. {3} aes er Se ra ca a ae ae 5) Aepaton rede ad ilar ble bala ony ae es ©) Uteonetoxtoroneternumter 3) SHOES REN NTE 14) Leaveone boxblankafar one word. a Eee were ee * ©) Wte your name, application number and telaphone number at the $s oe ry se Soy se ts S/o Sickopeurdemand branche soe 4) Pane tes photogiphin tox proved onsign nie boxe 9) Rat ren Ao fe Ft a ota nt Sophakaguph anal ebatemftoAgaestctt arm rans a rerwe se ) Incase fort ops, paste te inet pt aph of he nt age sen & rtf we Aen 8 gare a as we car he ox proved and nthe Box elon e eee eee mee and a botoman opkcaton Fam. a) akeeta den age A aes lr Be 8 terra en 8) A) pani salon i tinasiasedg sceignbbacan Pre age SPECIFIC INSTRUCTIONS: 1 the ae ater fey aro nt wid ech a em) 1 Wile name of be spptcat aa gen in PAN card (Peranent agree ‘etoutrombensasocnyteinconTaxbeparent 2 emanate ad yee eh 2. _Wnttaners ame test ppicantas Non PAN Cad 3 onan y/o a a oe a 3. Wrlenme otepouse one It appcant imares) ¢ gelateear ned orders 44 PemanenccountNuter fet pptcat toh hn. pipe il pleated plc ry 5 hone of pe oie apa. an eplnt ran Ser eo wet 8 WO real ee EEN Sompanys account, ne ban actasof he at appleaniwnose name Sees po Tmerafer Bea one sde gw rete a 8s Mond oa aiaTbs pel on the stint Coa sang wie sae Bice te ete hw eth fea ua een ore ‘ir eign na ct a the Bea Rt Neh See vite eres Se See ee ae a eee nebo ere he Brees te ‘ame oft plea’ an reno, an ea of ta pant rut ve gent Prose EC Coe 0 enable Tend Grey Te ea: geared whe ae ha ae ft ad be aes a plcanfanezcun NCEier Ree wien grtey Rea freely gel fe wee" Give phon nme wih STD code, emai and moble number Sareea ae ar aie heed sea eeu | Sy. tuodente creole sop age exe date sat a Gage RENCE Geet acne oaa IW wa ATE ‘else bork ocoiact te eplcan nce fared a Wri cade fre aga omic the appcantonongs. Te code Iereacheatcpoyoaenbuow: ai a “Si.No Category Code 0 sree a Seneca SC. oar aaa Sates abe sr (o)__wie dhl a Reema Ray AA (i) War Widow PGR I) — We {W——PersonewintDsoby Po an = r02 Ex-servioemen 5 tv) sagt afte, at iy “General Category ce ce) a ao ce] Disability Clause: A person with ably shall apply i hisher oem ‘ae 90 fe appleston may be sed tawah hao oat en ss ee ee ene a Gusion thethotunsbitaseconimeatnersal. " are EET es pS RTS SRE al SS 10 Residenial acres ofthe frst applicant iobe gen, —_— 11 Correspondence address for dispatch of refund chequaldemand- 90) erm rere are er Fear er | _cum-aBotment eter tobe mentioned, =“ 1 eo ar on reo ah ea 12 (a) i eo-of ant sppeton, manion he name of he jot oem Seoican sf) Myeesiter RA Age tee Aa eft () non oft ela wine ape {esr an Baraca Bm eer ores @ er ate} Be ischiintndeniet 15 (@) aR here iA esta a Ea A/T led aaieiliiaiadibiaa aoe mreetaet| {0} Mention application number of the spouse, if both husband and () oA CHA ose at Fr EN ‘capa Seperate al "14 Praaowtothe coe (aren in Annexe’ re ealy fr whieh 14 rte fre eee pases “wR ery wb re ee are are applicant wants fi proorenens and put (x) marks npretorences ewer ae el aeeer eo Aes woe WATERSS 5 saath Agplcadon ey ff 20007 fer Jani L1G ‘Snndee Rm) and €2.00, 000 fork 8 HIS) ast case mayb. 1s ania ah 100000. (orm she enka te sr & fe) oe ‘asin 200 nce Tana cont recur, wi aoe €2,00,000- (emsergch sate cura fee) er Fram Fret | TRA STAT aT ‘tobe paid by the applicant. Bp weap erie) eres arcs we 16 Aoptealon Maney + Cost of Brocur and cst of fat wil be te eaeyeme mea ote ateade airy es endorse epeatod trough NEFTIRT Sint Danng mode oy. Doro Se Parse arn eat Er rr ay the be a Earsareotaceepedtorpaymet. me Now) ne ede, races, cy eg, ‘Reoweht «(iy areca et Bw a ot saa ag a ate ad tars Stor Seer ee hnmy ot niente sone temas eal ety re Prone eee ee ee Sera beets eee ota ee Savane oan (ayer oh Re AOR wr (iy case of iscepancies in language, English Version wil be Wrested vat re

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