JHFHPL

Distributor/Annadata Canteen Bazaar Application

Phone Number

Your Name

Father's Name

Date of Birth

Aadhaar Number

Address

Nominee Name

Residence Address

Bank Name

Account Number

Cheque Number

Security Amount

Gram Panchayat Name

Voter ID

Nominee Aadhaar

Block

Branch Manager

IFSC Code

Marital Status

Residence Status

Canteen/Distributor Status

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