Village Citizen Registration

गावातील मार्गदर्शक

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Full Name

Aadhaar Number

Date of Birth

Mobile Number

Alternate Mobile Number (Optional)

Occupation (Optional)

Email (Optional)

Blood Group

---- Blood Group -----A+O+B+AB+A-B-O-AB-

Village

---- Select Village -----कारला

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Ayushman Card Number (if available)

Name of the scheme availed under Ayushman Bharat (if any)

--Select--Chief Minister Relief Fund – Medical GrantPrime Minister Relief Fund – Medical GrantMahatma Jyotiba Phule Jan Arogya GrantEnter other name

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