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    ANNEXURE_A (to be completed and e-mailed to) dharmpalsharma View Public Profile My Documents My Collections My Shelf Messages Notifications Account Help Log Out inShare0 Embed Doc Copy Link Add to Collection Comments Readcast Share x Share on Scribd: Readcast.

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    ANNEXURE_A (to be completed and e-mailed to) dharmpalsharma View Public Profile My Documents My Collections My Shelf Messages Notifications Account Help Log Out inShare0 Embed Doc Copy Link Add to Collection Comments Readcast Share x Share on Scribd: Readcast.

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    ANNEXURE_A (to be completed and e-mailed to) dharmpalsharma View Public Profile My Documents My Collections My Shelf Messages Notifications Account Help Log Out inShare0 Embed Doc Copy Link Add to Collection Comments Readcast Share x Share on Scribd: Readcast.

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    507 views11 pages

    Document

    Uploaded by

    Naseeb Sharma
    ANNEXURE_A (to be completed and e-mailed to) dharmpalsharma View Public Profile My Documents My Collections My Shelf Messages Notifications Account Help Log Out inShare0 Embed Doc Copy Link Add to Collection Comments Readcast Share x Share on Scribd: Readcast.

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    ANNEXURE A (to be completed and e-mailed to [email protected]) APPLICATION FOR AUTHORISATION TO BE USED BY CLIAs Name: Dharmpal Sharma Address ( With Pin Code ):S/o. Om Prakash Sharma (Po)P-Pai 136 027 Mobile No:9255152855E-mail ID:[email protected]:Kaithal (339)Division :Zonal Manager Agency Code Number :00917339 MClub membership (Corporate/CM/ZM/DM):ZMCLIA Code No.:M00917339M(10) No. of supervised agents:1(11)Do you have a computer? Yes/Desktop(12)Do you have a laser printer?:Yes/ Laser Printer (13)Do you have Internet connectivity?:Yes/Broadband (BSNL) (In the absence of computer, printer and internet, the authorization will notbe given) [email protected]:

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    ANNEXURE_A
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