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AAM AADMI PARTY, Odisha

ସଦସ୍ୟତା ପଞ୍ଜିକରଣ ଫର୍ମ

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ଆପଣଙ୍କ ପୁରା ନାମ
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ମୋବାଇଲ୍ ନମ୍ବର

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ଆପଣଙ୍କ ପୁରା ନାମ

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Gender(ଲିଙ୍ଗ)
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Enter Father's Name - ଆପଣଙ୍କ ପିତାଙ୍କ ନାମ
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Enter Mother's Name - ଆପଣଙ୍କ ମାତାଙ୍କ ନାମ

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Enter Assembly Name - ଏଠାରେ ବିଧାନସଭା ନାମ ପୂରଣ କରନ୍ତୁ
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Ward(ୱାର୍ଡ)/ Panchayat(ପଞ୍ଚାୟତ)
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Enter Pincode
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Please enter valid address

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Enter Voter ID Number (ଭୋଟର କାର୍ଡ ନମ୍ବର)
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Enter Aadhar Card Number (ଆଧାର କାର୍ଡ ନମ୍ବର)
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