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Mobile No.*

Email ID

Address Details

State*

District*

Mandal*

Village/City/Town*

Address*

Pincode*

Note:
1. All * marked fields are mandatory.
2. OTP is valid for 15 minutes only.
3. OTP SMS will be delivered to mobile number entered as above.

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Name:		DOB:
Local Name:		Local Match Value:
Phone:		Email:
Match Strategy:	Exact Partial Fuzzy
DOB Type:
Age:		Match Value:
Gender:

PERSONAL ADDRESS(PA)
Care Of:	Building:
Landmark:	Street:
Locality:	PO Name:
City:	Sub Dist:
District:	State:
PinCode:	Match Strategy:	Exact

PERSONAL FULL ADDRESS(PFA)
Match Strategy:	Exact Partial Fuzzy	Match Value:	Local Match Value:
Address Value:			Local Address:


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Application for PPB for lands in Semi urban areas