Delhi Building and Other Construction Worker Welfare Board

A-Block, 7th Level, VikasBhawan –II, Civil Lines, Delhi -110054

District : North-West

Registration Number: 51380000056859 Registration Date: 15/05/2015

1 Name of Member GOVIND

2 Father Name JOGESHWAR

3 Mother Name KANYAWATI

4 Spouse Name PUSHPA

PLOT NO-41, KHASRA NO-44/19 GROUND FLOOR

5 Local Address MANGE RAM PARK BUDH VIHAR PHASE - 2 DELHI
110086 INDIA

PLOT NO-41, KHASRA NO-44/19 GROUND FLOOR

6 Permanent Address MANGE RAM PARK BUDH VIHAR PHASE - 2 NORTH-
WEST NORTH-WEST DELHI INDIA 110086

7 Sex MALE 8 Marital Status MARRIED

9 Period of Membership 4 Years 10 Next Renewal Date 14/03/2021

11 Date of Birth 08/02/1973 12 Date of Retirement 07/02/2033

13 Annual Charges 20.00 14 Late Fee 62.00

Details of (Family Members,Nominee,children)

Education Details
Name of Nominee School/College
S No. DOB Sex Relation
Member Share Class name,Code and
Address

1 POOJA 28/03/2000 Female Daughter

2 TUSHAR 31/03/2005 Male Son

BHAGWATI
3 16/11/2001 Male Son
PRASAD

4 PUSHPA 01/01/1977 Female 100 Wife

51380000056859
Digitally signed by RAVINDER SINGH,
NOTE: Dy. Secretary,
1. 2020.03.19
This Certificate is valid as per Information Technology Act 2000 as 14:51:35
amended from time to time.
2. The Authenticity of this document should be verified at http://edistrict.delhigovt.nic.in. Any discrepancy in the details on this
document when compared to those available on the website renders it invalid.
3. The onus of checking the legitimacy is on the users of this document.
4. In case of any discrepancy please inform the authority issuing this Certificate.

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