Name And Designation
|
Father’s Name
|
Address
|
Mobile No
|
UID No
|
Whether member
of an other
Society/
Trust/
Company
|
If answer of column 6 is yes, please
furnish details
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
D.M.Shetti
Secretary
|
Mallappa
|
At/Po-Raibag
Tq-Raibag Dist-Belgaum
|
9448862048
|
NO
|
||
S.B.Biraj
Vice Chairman
|
Baburao
|
At/Po-Raibag
Tq-Raibag Dist-Belgaum
|
9036514004
|
NO
|
||
S.B.Bedikihale
Secretary
|
Baburao
|
At/Po-Raibag
Tq-Raibag Dist-Belgaum
|
9448636151
|
NO
|
||
S. A. Badore
Jt. Secratary
|
Appasab
|
At/Po-Raibag
Tq-Raibag Dist-Belgaum
|
9036274278
|
NO
|
||
J. B. Shetti
Director
|
Bhupal
|
At/Po-Raibag
Tq-Raibag Dist-Belgaum
|
9448862004
|
NO
|
||
A K. Shetti
Director
|
Kallappa
|
At/Po-Raibag
Tq-Raibag Dist-Belgaum
|
08331225433
|
NO
|
||
M. Y Shetti
Director
|
Yashavant
|
At/Po-Raibag
Tq-Raibag Dist-Belgaum
|
9901602003
|
NO
|