DEAR LIFE MEMBERS WE REQUEST YOU TO SUBMIT YOUR DATA IN THE FOLLOWING FORMAT SO THAT WE CAN SERVE YOU BETTER AND PROVIDE MORE OPPRTUNITIES & BENEFITS.
NAME -
DATE OF BIRTH-
FILE NO-
POSTAL ADDRESS-
CONTACT NUMBER-
DID U RECIEVE THE LUCKY DRAW PRIZE-
ANY COMMENT-
DEAR LADIES PLEASE DONT PROVIDE YOUR PERSONNEL NUMBER
YOUR SVT DOCTOR-
DR RAJESH AGRAVVAL
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