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Blood Group *
Your Mail *
Phone Number *
(Enter 10 digit mobile number)
Branch *
Residential Address
Father's Name
Present Designation
Date of Birth *
Date of Entry
Nature Of Entry into Service
Appointment Order No.
Nature Of Service at Present
Date of Retirement
Date of Relieve
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Life Memberhip Fee
You have to pay ₹3000/- to the OMSA A/c no. 10173713293 IFSC-SBIN 0003341,SBI OUAT branch, BBSR


Bank Transaction No.*
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