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Name
Username
Email
Password
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Adhaar / Voter ID No.
Phone
Address Line 1
Address Line 2
City
Adilabad
Hyderabad
Karimnagar
Khammam
Mahbubnagar
Miryalaguda
Nalgonda
Nizamabad
Ramagundam
Suryapet
Warangal
Date Of Birth
Qualification
Occupation
Father/Husband Name
Category
Education
Orphans
Widows
Health Care
Others
Number Of Dependants
1
2
3
4
5
6
7
8
9
10
11
12
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Dependant Details
Bank Details
Bank Name
Bank Branch
Bank A/C
Why Do You Want Zakat ?
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Verified By Person Name (1)
Verified By Person Phone (1)
Verified By Person Address (1)
Verified By Person Name (2)
Verified By Person Phone (2)
Verified By Person Address (2)
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