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Nari Folder

Document 4

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Mr Gk Kumar
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35 views5 pages

Nari Folder

Document 4

Uploaded by

Mr Gk Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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KRIPAN FAMILY WELFARE ORGANISATION

NARI PERSONAL FILE


NARI
NAME :
PASSPORT

PHOTO
W/O :

UNIT / REGT :

NARI FOLDER : 420 FIELD HOSPITAL


1

NARI
NARI PERSONAL FOLDER
PASSPORT

PHOTO
Details of Nari

1. Name of the Nari & Age :

2. Date of Birth :

3. Name of parents with Age

(Self and husband)

Self Husband

Mother – age- Mother – age-

Father – age- Father – age-

4. Address

(a) Address of Parents of Nari with tele Nos

Vill
PO:
Teh
Dist
State
Mob No

(b) Address of Parents of Husband with tele Nos

House No :
Vill :
PO:
Teh
Dist
State
Pin
Mob No
-2-

5. Tele No Self : Husband :

6. Edn Qualification :

7. Occupation :

8. Health records Self -

9. Details of Marriage

Date of Marriage Place of Marriage Part II order No with


date/unit

10. Details of Spouse

No, Rank Date of Date of Qualification Health No of Units


Name & Birth Enrolment Academic Trade Status served/
Unit Places

11. Details of Children

Ser Name of Child DOB Gend Immunization Study/ Health


No er Occupational Status
details

1.

Page 2 (contd)
-3-

12. Dependents details

Ser Name of dependent Age Relationship Part II order Name of unit


No No with date
(a)

(b)

(c)

(d)

13 Permanent address

House No :
Vill :
PO:
Teh
Dist
State
Pin
Mob No

14. Present address

15. Will made with date :

16. PAN Card No Self & Spouse : Self :


Spouse

17. Name & Place of Bank (Joint acct) :


Acct No –

(a) Debit card details :


, Card No

(b) Credit Card details : Nil

Page 3 (contd)
-4-

18. Smart Card self/ spouse : (a) Liquor card No –

(b) Grocery card No –

19. Aadhar Card : Aadhar Card No – (Spouse)

Aadhar Card No – (Self)

20. Driving license self/spouse : Self –,

valid upto

Spouse –

valid upto

21. Passport Number : Not held.

22. Voter ID Card Self/ Spouse : self -

Spouse -

23. Medical card/ chronic ailment or history : Medical done on

Diagnosis :

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