S.No.

Nam&
Designation

Father’s Name

Address

Mobile NO.

UID No.

Whether member of any other society / Trust/company

If answer of column 6 is yes,pleasfurnish details

1

2

3

4

5

6

7

1.

R N YADAV

MUSAI

Hathaura,Rammpur,
Ghazipur

9795962365

276330470483

NA

NA

2.

GUDDI KUMARI

R N YADAV

43A,GALI NO-5,OLD ARYA NAGAR,GHAZIABAD

9891204666

NA

NA

3.