Scribd Logo
Upload

Welcome to Scribd!

  • Dharmendra Kumar

    Uploaded by

    dharmendra
    9 views1 page
    This document provides details of an insurance scheme application for advocate Dharmendra Kumar. It lists his personal details like name, age, father's name, date of birth, nominee details. It also lists his dependents including his mother, wife, son and daughter along with their ages. It mentions his year of practice as 19 years with his enrollment number and date. Finally, it states his place of practice as Buxar, Bihar and includes his signature and contact details.

    Original Description:

    Original Title

    DHARMENDRA KUMAR.docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document provides details of an insurance scheme application for advocate Dharmendra Kumar. It lists his personal details like name, age, father's name, date of birth, nominee details. It also lists his dependents including his mother, wife, son and daughter along with their ages. It mentions his year of practice as 19 years with his enrollment number and date. Finally, it states his place of practice as Buxar, Bihar and includes his signature and contact details.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views1 page

    Dharmendra Kumar

    Uploaded by

    dharmendra
    This document provides details of an insurance scheme application for advocate Dharmendra Kumar. It lists his personal details like name, age, father's name, date of birth, nominee details. It also lists his dependents including his mother, wife, son and daughter along with their ages. It mentions his year of practice as 19 years with his enrollment number and date. Finally, it states his place of practice as Buxar, Bihar and includes his signature and contact details.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    DISTRICT BAR ASSOCIATION, BUXAR, BIHAR

    (INSURANCE SCHEME FOR ADVOCATES)


    BIHAR BAR COUNCIL, PATNA
    1. NAME OF MEMBER- DHARMENDRA KUMAR
    2. FATHER’S NAME /PARENT’S NAME- SHREE RAMJI RAI
    (FATHER),VINDHYACHALI DEVI (MOTHER)
    3. DATE OF BIRTH AND AGE ON1ST JULY 2019 -31-12-1973 ,45 YEARS 6
    MONTHS AND 01 DAYS
    4. NAME OF NOMINEE- NITU RAI (WIFE)
    5. NO. OF DEPENDANTS INCLUDING PARTICULARS OF NO. CHILDREN,THEIR AGE
    AND XISTANCE FATHER AND MOTHER (IF ALIVE) TOGETHER WITH THEIR AGE

    S.N. NAME OF AGE/D.O.B. RELATION


    DEPENDANTS
    (i) SMT.VINDHYACHAL 62 YEARS Mother
    I DEVI
    (ii) Smt. Nitu Rai 37/10-07- Wife
    1982
    (iii) MRIDUL KUMAR 11/11-03- Son
    2008
    (iv) BISHA KUMARI 13/13-08- DAUGHTER
    2006
    6. YEAR OF PRACTICE WITH No. AND DATE OF ENROLMENT- 19 YEARS
    -B/10808A/2000 DATED 26-08-2000
    7. PLACE OF PRACTICE- BUXAR ,BIHAR

    FULL SIGNATURE OF ADVOCATE


    Mob- 7004673082

    GENERAL SECRETARY

    DISTRICT BAR ASSOCIATION, BUXAR,


    BIHAR

    You might also like