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NAME OF CHAIRMAN & MEMBERS
| Name & Designation |
Father´s Name |
Address |
Mobile No. |
UID No |
Whether member of any other Society/
Trust/company |
If answer of column 6 is yes, please furnish details |
| 1 |
2 |
3 |
4 |
5
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6
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7
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| Smita Tripathy |
Sarat ku mishra |
Plot No-561,Ekamra vihar,Bhubaneswar. |
- |
- |
- |
- |
| Mr.Abhaya kumar sahoo |
Prafulla ku sahoo |
Plot No-107B,sarala nagar,laxmi sagar,Bhubaneswar |
9437171019 |
- |
- |
- |
| Er.Bibhuti bhusan tripathy |
Late Ratnakar Tripathy |
Plot n0-561,Ekamra vihar,Bhubaneswar |
9437032917 |
- |
- |
- |
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