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Registration Form

Name of Occupier/Owner* Status*
Type Of Owner/ Occupier * If Others
Identification
Identification document No
Building Name / Number* District*
City*
Area / Road*
Ward*
Email-ID* Pin Code
Mobile No.* Telephone Number

Building/Institution Details

Principal Activity* If Others

Location Of The Building/Institution
Address Details Of Building/Institution

Same as above address
Building Name / Number* District*
City*
Area / Road*
Ward*
Email-ID*
Pin Code Mobile No.*
Telephone Number Year of Construction*
Declaration
I, the undersigned solemnly declare that to the best of my knowledge and belief the information given above is correct and complete. It is further declared that any notice sent on the e-mail address given above will be accepted as legal notice served under the law
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