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Qesr ga cigiada Hele BHUBHANESWAR MUNICIPAL CORPORATION MUI FIBA Asie Alek CAs AE ‘Application form for the Reservation of Kalyan Mandap TRA SAA ASIEN YS! PAYIA FIGAR OIA : Name of Kalyan Mandap to be reserved : & aaGiEIONe aie: Name of the Applicant 9. Aovqiene eet: Father/Husband’s Name:- a. diel desi gage. Present Address :- Village/PlotNo. 6a. aial PO. PS. TelNo. vy. Gales Permanent Address : 8. Gael Ole aie! crawl Beene Period of which Reservation is reuired:-Date_ Month. Year_ dD. PHA AOE Purpose of Reservation :. $$ CARTE QeFea SOSRITE, TIREAICT, QESIAMAM AE IMI AKIele Geen ae Seaen aig) Kindly furnish details of the Function like Marriage, Reception, thread ceremony,other family function D, BINA GAGA AEE DOIPKT AICI QUEM YAIA CIA AQLIN SESIA QAM HBA AIFB ORE: Name & Address of a respectable person of Bhubaneswar whom reference in this regard can be made in case itis found necessary. Phone FT. SdIAFGI Qlal ATGS Aloe Sel RAI GOTIA AE G HIT! Whether you are willing to deposit the caution money as fixed by the Corporation. BidA quIsa gel 4 raion Adlon! FIM aid adie! AIKT e]

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