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VALMIKI BOYA YUVASENA
A Mission for Unity, Empowerment and Development of Valmiki
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NAME (పేరు)
*
SURNAME MIDDLE LAST (ఇంటిపేరు మధ్య చివరి)
Your answer
GENDER (లింగం)
*
M/F
Your answer
DATE OF BIRTH (పుట్టిన తేది)
AS ON TENTH CERTIFICATE (ఆన్ TENTH సర్టిఫికెట్)
MM
/
DD
/
YYYY
DATE OF BIRTH
AS ON TENTH CERTIFICATE for those who are not able to access the above option.
Your answer
PERSONNEL IDENTITY PROOF NUMBER (పర్సనల్ గుర్తింపు రుజువు సంఖ్య)
*
UID Aadhaar,Pan card,Voter ID,Driving Licence,Passport or Any other have to Notify
Your answer
Gothram (గోత్రం)
you can give only if you are intersted, Its only to know your personal information for our valmiki matrimonial alliances requested by any of our fellow members.
Your answer
Name of Your Residence Place (మీ నివాసం స్థలము పేరు)
*
Name of Your Village or Town
Your answer
Mandal (మండలం)
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Name of the Mandal to which your Village or Town Belongs to.
Your answer
District (జిల్లా)
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Name of the District to which your Village or Town Belongs to.
Your answer
Constituency (నియోజకవర్గం)
*
To which Area you Belong to.where you have your voting right.
Your answer
QUALIFICATION (అర్హత)
Educational or Other if any
Your answer
OCCUPATION (వృత్తి)
You are currently working as
Your answer
CONTACT NUMBER (సంప్రదింపు నంబర్లు)
*
Permanent and Have to Notify if change
Your answer
EMAIL ADDRESS (ఇమెయిల్ చిరునామా)
Important for all types of Communication
Your answer
POSTAL ADDRESS (తపాలా చిరునామా)
Permanent
Your answer
Area In which you are Interested in for Valmiki Development Activities ( మీరు వాల్మీకి అభివృద్ధి కార్యక్రమాలకు ఆసక్తి ఏరియా )
How you may help us in your work allotment or to filter based on your interest
Your answer
Probelms faced by our Community in Your Area (మీ ప్రాంతంలో కమ్యూనిటీ ఎదుర్కొంటున్నసమస్యలు)
It may help us in finding solutions for that and can ask our leaders to do so
Your answer
Solutions that you want to say our Community Development in Your Area (మీరు మీ ప్రాంతంలో కమ్యూనిటీ డెవలప్మెంట్ చెప్పటానికి కావలసిన సొల్యూషన్స్)
It may help us to work at ground level.
Your answer
Experience details if any (ఏదైనా అనుభవం వివరాలు ఉంటే)
Can Note Any you had done in Past
Your answer
Undertaking by Members (సభ్యుడు అంగీకారం)
*
For Security Reasons
All The fields I had filled with Sound and Conscious mind and I undertake all risks further raised on behalf of me & the cases raised will be under jurisdiction of VDM and its respective Undertaking Parent Body and to which it belongs.
Required
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