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NIWAS HAQH ACCOMODATION

सम्यक निवास हक्क

I Undersignd, SAMYAK Niwas Haqh Accommodation

Applying for Residential Accommodation

Full Name *

Phone Number

Your Email *

Age

Gender

Male

Female

Other

Aadhar Card

Occupation

Address

Average Monthly Income

Family Monthly Income

Country *

Room Size *

District

Transaction Details :

Date of Transaction :

Bank Name :

Transaction Slip:

Submit