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R E G I S T E R O N L I N E

PERSONAL INFORMATION

NAME (Family, Name, Middle Name)

RELIGION

MARITAL STATUS

GENDER

DATE OF BIRTH

PERMANENT HOME ADDRESS

PRESENT HOME ADDRESS

TELEPHONE NUMBER

CELLPHONE NUMBER

EMAIL ADDRESS

HIGHEST QUALIFICATION

ACADEMIC

PROFESSIONAL (If any)

SERVICE INFORMATION

DESIGNATION / RANK (Present)

WORKING AS

MOTORCYCLE

BRAND

MODEL

STATUS

CUBIC CENTIMETER (CC)

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