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ENTER VEER NARI'S DETAILS:

 
 1. First Name*
  Middle Name
  Last Name
 2.   Age                   Relation of NOK    
3.  

Educational Qualification

Unit/Parent Unit    
4.   PPO No                         
5.   Number of Children                       
             Age (Year)
 
C1
  
 
C2
  
 
C3
    
6.  

Any Differently Abled Child : 

      
7.   Postal Address

Address
Village
Post Office
Thesil
District


   
  PIN Code     E-mail ID     
  Telephone Mobile          
Fax              City              
State             
 
8.   Husband's/ Father's Details
  Army Number*     Rank              
  First Name*        Last Name     
  Date Of Death     Records        
  Type Of Casuality  
   
9.   Complaint ID
  Date of Complaint   Place of Complaint
  Orignators ID          Endorsing Official 
  Helpline Number    Regional AWWA
  Complaint ID No.  

CommandAWWA   
   
10.   GRIEVANCE

   
   
 
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