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Kerala Non Resident Keralites Welfare Board

Transaction Details

Success! Your payment of Rs/- 203 is Successful.

Page 1/3 Date :16/02/2018


Kerala Non Resident Keralites Welfare Board

Online Registration and Transaction Details

Application Number -

Registration Type -

Member Name -

Application Date -

Member District -

Member Taluk -

Member Village -

Permanent Address In Kerala -

Phone / Mob No -

Email -

Date of Birth / Age -

Gender -

Husband / Father Name -

Complete Address For -


Communication

Educational Qualifications of Member -

Religion/Caste -

Marital Status -

Is have a valid Identity Card issued -


from NORKA

Norka Identity Card No -

Is a member of any other welfare fund -


board

Name of board, Registration number, -


District

Any Other Details -

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Page 3/3 Date :16/02/2018

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