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]