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Designation 

C – Chairman cum Managing Director W- Whole Time Director, S – Secretary, R – Manager D – Director, M – Managing Director 

Date of Appointment 

Date of ceasing 

Date

Month

Year

Date

Month

Year

Election Commission Identity Card No. 

Name 

Surname

Middle Name

First Name

Nationality 

I – Indian F – Foreign 

Date of Birth 

Date 

Month 

Year 

Designation 

C – Chairman cum Managing Director W- Whole Time Director, S – Secretary, R – Manager D – Director, M – Managing Director 

Date of Appointment 

Date of ceasing 

Date

Month

Year

Date

Month

Year

Election Commission Identity Card No. 

Name 

Surname

Middle Name

First Name

Nationality 

I – Indian F – Foreign 

Date of Birth 

Date

Month

Year

Designation 

C – Chairman cum Managing Director W- Whole Time Director, S – Secretary, R – Manager D – Director, M – Managing Director 

Date of Appointment 

Date of ceasing 

Date

Month

Year

Date

Month

Year 

Election Commission Identity Card No. 

Directors/ Manager/ Secretary Information (Contd.)

Residential Address 

Town/City 

District 

State 

Pin Code 

Residential Address 

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