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Member Name (as per Aadhar)
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Father/Husband Name
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Date of Birth
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Gender
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Age
*
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Occupation/Studio Name
Full Address
District
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Adilabad
Bhadradri Kothagudem
Hanamkonda
Hyderabad
Hyderabad Urban
Jagtial
Jangaon
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Karimnagar
Khammam
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Mahabubabad
Mahabubnagar
Mancherial
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Mulugu
Nagarkurnool
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Nirmal
Nizamabad
Peddapalli
Rajanna Sircilla
Ranga Reddy
Sangareddy
Siddipet
Suryapet
Vikarabad
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Warangal
Yadadri Bhuvanagiri
Mandal
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State
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Country
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City
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District Association
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Pincode
Mobile No.
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Aadhar No.
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Nominee Name
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Relationship with Nominee
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Nominee Aadhar Card
Nominee Mobile No.
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Account Credentials
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Username
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Email
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Password
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Confirm Password
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