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Date.
FULL NAME
CWA NUMBER, PASSPORT NUMBER
AGE & DATE OF BIRTH
DESIGNATION
BLOOD GROUP
PRESENT ADDRESS
MARITAL STATUS
MARRIED
UNMARRIED
DIVORCED
NAME OF SPOUSE
NUMBER OF CHILDREN
1)
NOMINEES AND RELATION
CONTACT MOBILE & WHATSAPP NUMBERS
EMAIL ID & SPOUSE CONTACT NUMBER

The above given informations are true and correct to myknowledge. I have read the bylaw and promise to adhere with the rules and regulations.

Applicant’s name, signature and date
For office use only
Comments:
PRESIDENT
SECRETARY