::: - AKHIL BHARATIYA GONDWANA GOND MAHASABHA

GONDWANA GOND MAHASABHA SAMITI MEMEBER

Gond Bhawan, Industrial Estate Kapumal, Jharsuguda- 768203, M – 9437446346
E mail – gondsamaj.odisha@gmail.com, Website – www.gondmahasabha.com
Board Patron, Board of Advisore, Odisha Pradesh Ayojana Samiti, Zilla Ayojana Samiti ,
Block Ayojana Samiti, Gudi/Palli/Punja Ayojana Samitti, Volunteer, Delegate and Vvip Card


Name of Board*
Name of Board/Samitti*		Name of Post *
State	District	Block	Gudi/Palli/Punja
Name		So/Wo/Do
Passport Photo		Padabi Proof
Birth Date		Age	Blood Group
Gender	Male Female	Diya	Bansha
Mobile Phone (+91)			Gotra
Current E-Mail ID		Profession

Correspondence Details [Present Address] Same Address [Permanent Address]
Street/Village*		Street/Village*
Post Office*		Post Office*
Via		Via
City		City
State*		State *
District*		District *
Block		Block
Punja/Palli/Gudi		Punja/Palli/Gudi
Pin*		Pin *