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Registration Form
Scheme Name
(भूखण्ड आबंटन)
Shree krisha Vatika Lucknow
Sanjivani Enclave
Please Scan QR Code for Payment
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Upload Your Payment Image for Form fee 300/-
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Upload Your Payment Image for Registration (5100/- / 11000/-)
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Upload Your Photo
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Upload Your Aadhaar Card Front
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Upload Your Aadhaar Card Back
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Name(Mr./Ms./Mrs.)
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Father's/Husband Name
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Correspondence Address
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PAN Number
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Date Of Birth
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Mobile Number
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Email Id
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Age
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Sex
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Choose Sex
Male
Female
Marital Status
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Choose Martial
Married
Unmarried
Occupation
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Handicapped(Y/N)
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Choose Handicapped
Yes
No
Senior Citizen
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Choose Senior Citizen
Yes
No
Annual Income
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Permanent Address
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Plot Sizing Options
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Please Select Plot Size
66 वर्ग गज 600 Sq. Ft.
111 वर्ग गज 1000 Sq. Ft.
222 वर्ग गज 2000 Sq. Ft.
Nominee
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Name
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Age
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Relation
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Please Select Your Relation
Wife
Husband
Son
Brother
Sister
Mother
Father
Daughter