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ट्रक मालिक / ट्रांसपोर्टर सदस्यता फॉर्म

Full Name | पूरा नाम *

Father Name | पिता का नाम

Date of Birth | जन्म तिथि

Mobile No | मोबाइल नंबर

Aadhar No | आधार कार्ड नंबर

Blood Group | रक्त समूह Select Blood Group A+ A- B+ B- O+ O- AB+ AB-

Profile Photo | प्रोफ़ाइल फोटो *

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Permanent Address | स्थायी पता

State | राज्य Select State Andaman & Nicobar Islands Andhra Pradesh (Old) Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra & Nagar Haveli (Old) Daman & Diu (Old) Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir (Old) Jharkhand Karnataka Kerala Ladakh Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal

District | जिला Select District

Pincode | पिनकोड

Postal Address | पत्राचार पता

State | राज्य Select State Andaman & Nicobar Islands Andhra Pradesh (Old) Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra & Nagar Haveli (Old) Daman & Diu (Old) Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir (Old) Jharkhand Karnataka Kerala Ladakh Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal

District | जिला Select District

Pincode | पिनकोड

Business Details | व्यवसाय विवरण

Transport Name | व्यवसाय नाम *

Transport Address | व्यवसाय पता *

State | राज्य * Select State Andaman & Nicobar Islands Andhra Pradesh (Old) Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra & Nagar Haveli (Old) Daman & Diu (Old) Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir (Old) Jharkhand Karnataka Kerala Ladakh Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal

District | जिला * Select District

Pincode | पिनकोड *

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