My Father
5.
IN S T R U C TIO N S FO R FILL IN G T H E F O R M
P L EAS E F O L L O W TH E S IM P LE S TE P S W H ILE FILLING T H E F O RM S
1. 2. Use the B LAC K B AL L P EN to fill the details and to sign the form . Do not put any stray m arks on Black Squares and Barcode.
3. Fill com plete circles for the selected options else leave it blank if not applicable as shown in the exam ple:
4. W rite clearly within the boxes, as indicated in the following exam ple:
5. 6. 7. 8.
Do not over write. Please write the date in DD-M M -YYYY form at. Do not bend/fold the form . Please refer the table below for State C odes.
S T AT E /U T N AM E ANDAMAN AND NICOB AR ANDHRA PRADE SH ARUNACHAL PRADE SH ASSAM BIHA R CHANDIG ARH CHHATISGARH DADRA AND NAGA R HA V ELI DAMAN & DIU DELHI GOA G UJARAT HARYANA HIMACHAL PRADE SH JAMMU & K A SHMIR JHARKHAND K ARNATA K A K ERALA S T ATE /U T C O D E LK MP MH MN MG MZ NG OR PN PB RJ SK TN TR UP UT WB S T AT E /U T N AM E LA K SHADE E P MADHYA PRADE S H MAHARA SHTRA MANIPUR MEG HALAYA MIZORAM NAGALAND O RIS SA PO NDICHER RY PUNJAB RA JA STHAN SIKK IM TAMIL NAD U TRIPURA UTTAR PRADESH UTTARAKHAND/UTTRANCHAL W E ST B ENGA L
S T ATE /U T C O D E AN AP AR AS BH CH CG DN DD ND GA GJ HR HP JK JH KR KL
IN S T R U C TIO N S FO R FILL IN G T H E F O R M
P L EAS E F O L L O W TH E S IM P LE S TE P S W H ILE FILLING T H E F O RM S
1. 2. Use the B LAC K B AL L P EN to fill the details and to sign the form . Do not put any stray m arks on Black Squares and Barcode.
3. Fill com plete circles for the selected options else leave it blank if not applicable as shown in the exam ple:
4. W rite clearly within the boxes, as indicated in the following exam ple:
5. 6. 7. 8.
Do not over write. Please write the date in DD-M M -YYYY form at. Do not bend/fold the form . Please refer the table below for State C odes.
S T AT E /U T N AM E ANDAMAN AND NICOB AR ANDHRA PRADE SH ARUNACHAL PRADE SH ASSAM BIHA R CHANDIG ARH CHHATISGARH DADRA AND NAGA R HA V ELI DAMAN & DIU DELHI GOA G UJARAT HARYANA HIMACHAL PRADE SH JAMMU & K A SHMIR JHARKHAND K ARNATA K A K ERALA S T ATE /U T C O D E LK MP MH MN MG MZ NG OR PN PB RJ SK TN TR UP UT WB S T AT E /U T N AM E LA K SHADE E P MADHYA PRADE S H MAHARA SHTRA MANIPUR MEG HALAYA MIZORAM NAGALAND O RIS SA PO NDICHER RY PUNJAB RA JA STHAN SIKK IM TAMIL NAD U TRIPURA UTTAR PRADESH UTTARAKHAND/UTTRANCHAL W E ST B ENGA L
S T ATE /U T C O D E AN AP AR AS BH CH CG DN DD ND GA GJ HR HP JK JH KR KL