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I solemnly declare that the particulars given above are correct to the best of my knowledge. I also agree to abide by the rules and regulations of the NISH SHABD ANGEEKAR WELFARE ASSOCIATION

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ALL DETAILS ARE PROPERLY FILLED IN BEFORE SUBMISSION.
THE ASSOCIATION SHALL BE IMMEDIATELY INTIMATED OF CHANGE OF PERMANENT / PRESENT ADDRESS, PHONE NO., E-MAIL ADDRESS, WA NO.