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भारत सरकार

GOVERNMENT OF INDIA
आवासन और शहरी कार्य मंत्रालय
MINISTRY OF HOUSING & URBAN AFFAIRS

के न्द्रीय लोक निर्माण विभाग


CENTRAL PUBLIC WORKS DEPARTMENT

Sl. No. :

Recent नाम (हिन्दी में ) :

Passport Size Name in English:

Photo Designation :

Blood Group :

PIMS ID :

Telephone(O):

Mobile No. :

Residential Address:

Grade Pay :

Date of Issue :

Valid up to :

(Signature of Card Holder) (Signature of Issuing Authority)

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