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ఆంధ్రప్రదేశ్ పౌరసమాజం
AP Civil Society
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Affix
Recent
Photo
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Membership Registration Form
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1
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Working District
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2
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Name
in Full
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3
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Pet
/ Pen Name
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4
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Age
& Gender
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Years
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5
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Social
Group (Optional)
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6
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Main
Profession
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7
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Member Union / Association
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8
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Member of Political Party
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9
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Social
Work Details
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1.
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2.
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3.
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4.
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10
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Postal Address
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11
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Mobile & Land Phone
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12
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E-mail
ID :
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13
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Facebook
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14
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What’s Up
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15
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Interesting
Wing to Work
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16
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How
many hours can spare
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in a
month
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Date :
Signature of the Applicant
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Proposed By
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Mobile
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Supported By
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Mobile
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