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ವೀರಶೈವ ಲಿಂಗಾಯತ ಪಂಚಮಸಾಲಿ ಕರ್ನಾಟಕ ರಾಜ್ಯ ಯುವ ಘಟಕ
ರಾಜ್ಯ ಯುವ ಘಟಕದ ವತಿಯಿಂದ ಸದಸ್ಯತ್ವ ನೊಂದಣಿ ಅಭಿಯಾನ ಅರ್ಜಿ
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Name. ಹೆಸರು *
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Male. ಪುರುಷ
Female. ಮಹಿಳೆ
Age. ವಯಸ್ಸು
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Contact Number. ದೂರವಾಣಿ ಸಂಖ್ಯೆ
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Address. ವಿಳಾಸ
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Taluk. ತಾಲೂಕು
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Occupation. ವೃತ್ತಿ *
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