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# Generated By UMID Portal @ 09-03-2023 09:48 AM

UMID Application Preview (Auto Generated)

Applicant-1: Employee

Pf No 45505828582 Employee Name SAMI UL HAQ

Designation CHEMICAL n METALLURGICAL SUPDT. Gender M

Blood Group O+ Application Current Initiation Number


5

Aadhaar No 847885716743 Health Unit (Opted) BHOPAL DIVISIONAL RAILWAY HOSPITAL

City BHOPAL Pincode 462001

53, ZIA MANZIL, ITWARA, BHOPAL, M.P.


Email Id samiulhaq15483@gmail.com Residential Address

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# Generated By UMID Portal @ 09-03-2023 09:48 AM

Applicant-2: Wife

Family Member Name KOUSAR KHAN Date Of Birth 10-05-1988

Relation Wife Marital Status Married

Dependancy Dependent Physicallymedically Challenged No

Blood Group O+ City BHOPAL

Pincode 462001 Health Unit (Opted) BHOPAL DIVISIONAL RAILWAY HOSPITAL

Aadhaar No 281270494341 Pan

53, ZIA MANZIL, ITWARA, BHOPAL, M.P.


Email Id samiulhaq15483@gmail.com Residential Address

Documents Uploaded
# Generated By UMID Portal @ 09-03-2023 09:48 AM

Applicant-3: Daughter

Family Member Name MARIYAM KHAN Date Of Birth 13-12-2017

Relation Daughter Marital Status Unmarried

Dependancy Dependent Physicallymedically Challenged No

Blood Group O+ City BHOPAL

Pincode 462001 Health Unit (Opted) BHOPAL DIVISIONAL RAILWAY HOSPITAL

Aadhaar No 645993383144 Pan

53, ZIA MANZIL, ITWARA, BHOPAL, M.P.


Email Id samiulhaq15483@gmail.com Residential Address

Documents Uploaded
# Generated By UMID Portal @ 09-03-2023 09:48 AM

Applicant-4: Son

Family Member Name IBAAD UL HAQ Date Of Birth 29-03-2021

Relation Son Marital Status Unmarried

Dependancy Dependent Physicallymedically Challenged No

Blood Group O+ City BHOPAL

Pincode 462001 Health Unit (Opted) BHOPAL DIVISIONAL RAILWAY HOSPITAL

Aadhaar No 207925697284 Pan

53, ZIA MANZIL, ITWARA, BHOPAL, M.P.


Email Id Residential Address

Documents Uploaded
# Generated By UMID Portal @ 09-03-2023 09:48 AM

Applicant-5: Daughter

Family Member Name MAHUM KHAN Date Of Birth 18-12-2018

Relation Daughter Marital Status Unmarried

Dependancy Dependent Physicallymedically Challenged No

Blood Group O+ City BHOPAL

Pincode 462001 Health Unit (Opted) BHOPAL DIVISIONAL RAILWAY HOSPITAL

Aadhaar No 626129474283 Pan

53, ZIA MANZIL, ITWARA, BHOPAL, M.P.


Email Id samiulhaq15483@gmail.com Residential Address

Documents Uploaded

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