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RESIDENT COMMISSIONER, ORISSA, NEW DELHI
DATA FOR DELHI ORISSA DIRECTORY   

  1.

Title First & Middle Name Last Name
* *

  2. Sex : Male Female                                      With Spouse : Yes No

  3. Category  :       

  4. Office Address :

      Designation: 

      Organisation:     

      Address Line 1: 

      Address Line 2:    

     City :

State :

Pincode

Telephone(Direct)

*1.

2.

Fax : 

PBX(Junction Nos)

1.

2.

Extn :

E-Mail :

1.

2.

 

Mobile :

1.  

     Residential Address:

      Address Line 1:   

        Address Line 2:  

     City :

State :

Pincode

Telephone(Direct)

1.

2.

Fax : 

E-Mail :

1.

2.

 
      Permanent or Contact  Address in Orissa:

       Address Line 1:   

      Address Line 2:    

     City :

Pincode

Telephone(Direct)

1.

2.

Fax : 

Name of Delhi based Social Cultural Oriya Organisation of which a member (if so) :
REMARKS :