"PuKaMaYa" DOCTORS TOWNSHIP - Kirumampakkam, Puducherry
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Name of the Applicant *
Medical Registration Number
Address 1
Address 2
Mobile No *
Landline No
E mail address
Hospital/Clinic Details
Required Square Feet
No of Plots Required
Note
 1. Booking Advance Rs 50,000/- by way of Cash/ Cheque / DD on the day of Site Visit.
 2. Cheque /DD shall be drawn on Doctors Housing & Educational Pvt. Trust.
Submit
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