UNVERIFIED MEMBERS WHOSE KYC STILL DUE

S.No. Membership No Name Address City/Location State PIN Contact No.

1 A000146 AMRESH KUMAR AGGARWAL 4O/45 CHITTRANJAN PARK NEW DELHI 110019 9811013678

2 A000163 AJIT PRASAD B-531 NEW FRIENDS COLONY NEW DELHI 110065

3 A000181 RAKESH AGGARWAL C-1/1 MODEL TOWN DELHI 110009 9810245665

4 A000244 NAVEEN ANAND E-113 EAST OF KILASH NEW DELHI 110048 9871745115

5 A000253 MANJIT SINGH ARORA H.NO.3614 , 2 ND FLOOR,D L F CITY PHASE- 4 GURGAON HARYANA 122002

6 A000308 ARUN ANAND K - 24 JUNGPURA EXTN NEW DELHI 110014 9810081881, 9810582888

7 A000315 NARESH ARORA WZ-61-H GALI NO. 7 VIRENDER NAGAR NEW DELHI 110064 9599559966, 9654547654

8 A000328 PARVEEN AGGARWAL 403, DLF Magnolias, Sect.42, Golf Course Road GURGAON HARYANA 122002

9 A000341 GOPAL KISHAN AGGARWAL C-1/2, FLATNO.2 MODEL TOWN III DELHI 110009 9811103338

10 A000379 BHANU ARORA D-13, A-27 MODEL TOWN DELHI 110034 9811071685

11 B000054 UTTAM BELANI 1054 MUKHARJEE NAGAR DELHI 110009 9911105622

12 B000070 BAJAJ RAM DHAN A-2/13 ,2nd Floor MODEL TOWN DELHI 110009 9810761174

13 B000091 VIRENDER NATH BALI 60 Kailash Kunj GREATER KAILASH 1 NEW DELHI 110024 9810158070

14 B000172 D.L BAHEL B-531 NEW FRIENDS COLONY NEW DELHI 110065

15 B000173 MAN MOHAN BAGAI 1-C RAM NAGAR NEW DELHI 110051

16 B000200 I.S. BINDRA President, Punjab Cricket Association PCA. Crickrt Stadium, Phase-9, Sector-63, SAS Nagar,Mohali CHANDIGARH 160019

17 B000222 PARAMJIT SINGH BHUI B 160, PIRAYDARSHANI VIHAR LAXMI NAGAR DELHI 110091 9810081002

18 B000224 O.P. BHARGAVA D - 389 , Ist FLOOR DEFENCE COLONY NEW DELHI 110024 9891086480

19 B000260 P.K. BAPNA C-57, D.D.A. FLATS SAKET NEW DELHI 110017 9818030551

20 B000275 PREM CHAND BOHRA A-167, 3rd FLOOR LAJPAT NAGAR I NEW DELHI 110024 9313294827

21 B000289 RAJINDRA BERRY F.NO 1187 (1ST FLOOR) SECTOR-A POCKET-B VASANT KUNJ NEW DELHI 110070 9899840986

22 B000375 MAYURI BHUTANI 9 A, POCKET C SIDDHARTH ENCLAVE NEW DELHI 110014

23 B000385 KISHAN NARAIN BHARGAVA 1185, MOHALLA EMLI KUCHA PATI RAM SITA RAM BAZAR DELHI 110006

24 B000424 NAVTEJ SINGH BAL A-17, BASEMENT LAJPAT NAGAR III NEW DELHI 110024

25 B000435 P.K. BHASIN 56 / 21 , DLF - III GURGAON HARYANA 110001 9871300032

26 B000459 KAPIL BOHRA A-167, 3rd FLOOR LAJPAT NAGAR I NEW DELHI 110024 9313294827

27 B000466 RAJIV BHARDWAJ B-4,H.NO.3190 , RIDGE VIEW APPTT. VASANT KUNJ NEW DELHI 110057 9.71507E+11

28 C000035 VIRESH PRATAP CHAUDHRY 4844/24 DARYAGANJ NEW DELHI 110002 9810103680

29 C000067 SURINDER SINGH CHHABRA 1043/9/D, WARD NO.8,NATURE VIEW APPTT. MEHRAULI NEW DELHI 110030

30 C000094 KAMAL PALJI CHADHA C-564 NEW FRIENDS COLONY NEW DELHI 110065

31 C000102 HARISH CHAWLA G-1/23 SAFDARJANG DEV. AREA NEW DELHI 110016 9810352712

32 C000176 RAVINDER KUMAR CHAWLA Q-62 RAJOURI GARDEN NEW DELHI 110027 9810015705

33 C000182 SATINDER MOHAN CHAWLA 12, RAJNIWAS MARG CIVIL LINES DELHI 110054 9312123939

34 C000196 P.N. CHOPRA 20/56 3RD FLOOR OLD RAJINDER NAGAR NEW DELHI 110060 9899607393, 9990700840

35 C000204 SATISH KUMAR CHAUDHARY B-4/76 A ASHOK VIHAR-II DELHI 110052 9811188965

36 C000231 VIMAL CHORARIA A-197, 2ND FLOOR, NEW FRIENDES COLANY NEW DELHI 110065 9810010626

37 C000234 SUDESH KUMAR CHHABRA SHELLY CHIT & FINANCE, 2888, BAZAR SIRKI WALAN, LAL KUWAN DELHI 110006 9810014186

38 C000255 PANKAJ CHHABRA C-5 KIRTI NAGAR DELHI 110015 9810069180

39 C000265 RAKESH KUMAR CHAUHAN 262-AWAS VIKAS COLONY AMROHA J.P. NAGAR U.P 244221 9837033846

40 C000267 DEVINDER CHOUDHARY WZ-125, VILLAGE DASGHERA P.O. PUSA NEW DELHI 110012

41 C000271 YOGENDER SINGH CHAUHAN F - 37 B,GALI NO 20 ,MANGAL BAZAR ROAD LAXMI NAGAR DELHI 110092 9968317500

42 D000005 DILBAGH SINGH B- 13 KALINDI COLONY NEW DELHI 110008 9810078942

43 D000025 PREM NARAIN DUTTA 26-Dec SARVAPRIYA VIHAR NEW DELHI 110016 9811654937

44 D000029 HARBANS SINGH DHIR 157 SFS OPP. MAYAPURI (BUS DEPOT) MAYAPURI NEW DELHI 110064 9868111516

45 D000074 RAM DANDONA C-23, RAM DANDONA AND ASSOCIATES ARCHITECTS INTERIOR DESIGNERS C-23N.D.S.E PART-I NEW DELHI 110049 9810089932

46 D000088 RAVI DUA C-31, CC COLONY RANAPARTAP BAGH DELHI 110007 9810588689

47 D000098 RASHMI DESAI 62 SUNDER NAGAR NEW DELHI 110003

48 D000105 S.B. DESHPANDE 396 JAGRITI ENCLAVE DELHI 110092

49 D000111 O.P. DHAWAN B-51 VIJAY NAGAR NEW DELHI 110009 9910208754, 9311293224

50 D000147 NARENDER KUMAR DUA F-21 / 17, KRISHANA NAGAR DELHI 110051 9312484304

51 D000148 ROSHAN LAL DHIR FLAT NO 4, D/24 1ST FLOOR OLD RAJINDER NAGAR NEW DELHI 110060 8373944737

52 D000180 DEEPAK KUMAR DUTTA 27/6 OLD RAJINDER NAGAR NEW DELHI 110060

53 F000006 FAREEDUDDIN 5123, SHARIF MANZIL BAZAR, BALLIMARAN CHANDANI CHOWK DELHI 110006 8860715898, 9810833251

54 G000086 NARENDER KUMAR GUPTA HOUSE NO.1555 GALI NO.10 TRI NAGAR DELHI 110035

55 G000087 PADAM CHAND GUPTA 8, SUNDER NAGAR, 1ST FLOOR MATHURA ROAD NEW DELHI 110023 9350171732

56 G000123 SHANKAR GOPAL 79-C, POCKET I MAYUR VIHAR DELHI 110091 9871765717

57 G000150 AMRIT LAL GUPTA K-3/4 MODEL TOWN II DELHI 110009 981102172

58 G000159 GHANSHYAM DASS 152, AMBICA APARTMENTS SECTOR-14 ROHINI DELHI 110085 9910340939

59 G000176 J.P GUPTA C-62 SOUTH EXTENSION PART I DELHI 110049 7838414003

60 G000196 CHANDER MOHAN GUPTA SONA SADAN-P-3/42A DLF PHASE-II GURGAON, HARYANA 122010 9811579003

61 G000205 VED PRAKASH GUPTA 134 DAYANAND VIHAR DELHI 110092 9868737222, 9868220444

62 G000250 GURDAS SINGH Flat. NO. A-804, DREAM APPTTS. PLOT NO.14, SECTOR-22, PHASE-IDWARKA NEW DELHI 110045 9811100521

63 G000265 MUKESH KUMAR GUPTA 2051 SITA RAM BAZAR DELHI 110006 9810086202

64 G000319 J.P. GOEL FLAT NO.22, VRINDAVAN APTS FLOT NO . 110, I.P. EXTNPATPARGANJ DELHI 110092 9810101603

65 G000380 J.S. GROVER M - 12 KAILASH COLONY NEW DELHI 110048 9871018251

66 G000471 SATYA PRAKASH GUPTA 4908, YUSAUF BULDING HAUZ QUAZI DELHI 110006 9810284908

67 G000489 GURDIAL SINGH A-118 SECTOR-31 NOIDA U.P 201303 9810008823

68 G000508 SUBHASH CHAND GUPTA 14, MINA APPTT. PLOT NO-78, INDRAPRASTH DELHI 110092 9810833995

69 G000519 ANIL GOEL 2480 CHIPIWARA KALAN CHANDANI CHOWK DELHI 110006 9811175392

70 G000563 ARUN GUPTA B-66, RAM PRASTHA COLONY GHAZIABAD U.P 201011 9810872227

71 G000587 CHAMAN P. GUPTA S-330 GREATER KAILASH I NEW DELHI 110048 9910126546

72 G000611 AJAY KUMAR GUPTA 2287, HUDSON LINES DELHI 110009 9810039736

73 G000615 UMESH GUPTA 244 IInd Floor DAYANAND VIHAR DELHI 110092

74 G000618 RAJIV GULATI C-2/90 ASHOK VIHAR - II DELHI 110052

75 G000631 RAJIV GUPTA B7/86 PHARMA APTT., PLOT NO. 88, I. P. EXTN. PATPAR GANJ DELHI 110092 9868178729

76 G000633 ANKUR GOEL B-14, MANU APPARTMENTS MAYUR VIHAR- I DELHI 110091 9350869401

77 G000697 RAJ KUMAR GUPTA 209- 1stFLOOR DAYANAND VIHAR DELHI 110092 9312349651

78 G000698 SUNIL GUPTA E-38, IST FLOOR GURU NANK ROAD ADARSH NAGAR DELHI 110033 9811582980

79 H000027 HARCHARAN SINGH 91, MATHURA ROAD FRINDS COLONY WEST NEW DELHI 110065 9350928929, 9871822468

80 I000015 INDER PAL SINGH 196 KAILASH HILLS NEW DELHI 110065 9811089897

81 J000006 JINENDRA KUMAR JAIN 36-UB JAWAHAR NAGAR DELHI 110007 9891056990

82 J000095 P.K. JAIN 5-A/20 ANSARI ROAD NEW DELHI 110002 9899019866

83 J000137 DEEPAK JAIN 41 RAJPUR ROAD DELHI 110054 9811042884

84 J000147 GULAB SINGH JAISWAL 6320 NAYA BANS DELHI 110006 9811021262

85 J000245 INDER CHAND JAIN C - 8 / 8376 VASANT KUNJ NEW DELHI 110070 9810285976

86 J000249 RAJIVE JOHRI 202 GULMOHAR ENCLAVE NEW DELHI 110049 9818930933

87 J000288 DARSHAN JAGGI D-138 EAST OF KAILASH III NEW DELHI 110065 9811212242

88 J000301 RAJAN JAIN D-23 GULMOHAR PARK NEW DELHI 110049

89 J000320 SUNIL KUMAR JAIN 274 , U G F KAILASH HILLS NEW DELHI 110065 9810508084

90 J000333 DAVINDRA JAIN MAHABIR PARSHAD &SONS,W - 227 MAYAPURI II NEW DELHI 110064

91 J000365 JAI SINGH C-3/54,2ND FLOOR,OFFICER FLAT,AIR INDIA COLONYVASANT VIHAR NEW DELHI 110057 9810222622

92 J000401 NARENDER KUMAR JAIN 2555,SATGHARA DHARAMPURA DELHI 110006 9313774194

93 K000032 S.K. KAPOOR A-229 NEW FRIENDS COLONY NEW DELHI 110065 9810050866

94 K000058 SARLA KHANNA A-11 FRIENDS COLONY EAST NEW DELHI 110065

95 K000105 KIDAR NATH KATARIA C - 497 DEFENCE COLONY NEW DELHI 110024

96 K000118 B.K. KAPUR D-140 SECTOR-55 NOIDA U.P 201301 9818817573

97 K000124 RAVINDER KUMAR KAKKAR H.NO.2600 A, IsT FLOOR,BLOCK C ,BEHIND GOLDSONKSUSHANT LOK - I GURGAON 122001 8800478210, 9958458001

98 K000129 VIRENDER NATH KAURA 7 NAV JEEVAN VIHAR NEW DELHI 110017

99 K000195 KIDAR NATH KAPOOR E-37 KALANDI COLONY DELHI 110065 9810853321

100 K000206 VED KUMAR KHARBANDA B 3 / 47 A ASHOK VIHAR - II DELHI 110052 9810123527, 9718713535

101 K000211 DESH DEEPAK MAKKAR H.no. 363,GF, SECTOR - 46 FARIDABAD HARYANA 9818618022

102 K000274 KEWAL KRISHAN KHANNA KAY FILMS CHANDANI CHOWK DELHI 110006 9654790571

103 K000312 P.N. KACKER 7/4, ANSARI ROAD DARYAGANJ NEW DELHI 110002

104 K000375 RAJESH KUMAR KASHYAP 13-Aug ROOP NAGAR DELHI 110007 9868215299

105 K000393 INDER MOHAN KHERA B-4/12 AZAD APARTMENTS SRI AUROBINDO MARG NEW DELHI 110016 9811323284

106 K000427 RAMON KAPUR S-430 GRATER KAILASH II NEW DELHI 110048 9871971054

107 K000519 KANTA KAPOOR D 1 / 5, JAIL ROAD FATEH NAGAR NEW DELHI 110018 9654547654, 9599559955

108 K000615 RAJESH KHANNA G - 73 EAST OF KAILASH NEW DELHI 9810001527

109 K000637 VIJAY SHANKER KHANNA A-1746 GREEN FIELD COLONY FARIDABAD HARYANA 121003 9810670749

110 K000653 RAJAN KHANNA G-93 D.D.A COLONY NARAINA VIHAR NEW DELHI 110028 9810006434, 9811009681

111 K000663 ABHEETA KHANNA POCKET-9 HOUSE NO. 9713 VASANT KUNJ NEW DELHI 110070 9717092050

112 K000689 RAJINDER KHANNA W-54 GREATER KAILASH II NEW DELHI 110048 9810003008, 9810104413

113 K000710 SANJAY KAPOOR D 1 / 5, JAIL ROAD FATEH NAGAR NEW DELHI 110018 9654547654, 9599559966

114 K000717 KAMLESH KUMAR C-2B/54-C JANAKPURI NEW DELHI 110058 9810779757

115 K000759 R.P. KHURANA 55 KAILASH HILLS NEW DELHI 110065 9971391463

116 K000785 VIJAY KUMAR KAPAHI H. NO.441, IInd FLOORSECTOR 31 GURGAON HARYANA 122003 9810128080

117 K000791 ARUN KUKREJA 4A-FLAG STAFF ROAD CIVIL LINES DELHI 110054 9213366483

118 K000836 SATISH KHANNA A-404, SHRI GANESH APPTT PATPARGANJ GROUP HOUSING AREAI. P. EXTENSION DELHI 110092 9810078300

119 M000050 RAMESH MATHUR 1205, KANCHAN JUNGA BUILDIG KAUSHAMBI GHAZIABAD 201010

120 M000071 BALWANT RAI MUNJAL 10/15, NEHRU ENCLAVE EAST KALKAJI NEW DELHI 110019

121 M000107 SATISH MEHRA D-142 SECTOR-55 NOIDA U.P 201301 9810128129

122 M000150 PRAN MEHTA A-11 FRIENDS COLONY EAST NEW DELHI 110065

123 M000167 KAMINI MEHTA A-11 NEW FRIENDS COLONY NEW DELHI 110065

124 M000201 RAJ KISHAN MEHRA D-140 SECTOR-55 NOIDA U.P 201301 9810010140

125 M000213 SATISH KUMAR MEHRA I-9 JUNGPURA EXTN NEW DELHI 110014 9811100844

126 M000222 HARI MEHRA B-102 GROUND FLOOR SARITA VIHAR DELHI 110076 9821049488, 9891070744

127 M000239 M.K MALIK 135-A, D.D.A MIG FLATS RAJOURI GARDEN NEW DELHI 110027 9810446828

128 M000240 SOM NATH MONGIA E-140 PREET VIHAR NEW DELHI 110092 9810094523

129 M000249 H.L MODY FLAT NO. 31 PANCHSEEL APPARTMENT PANCH SHEEL ENCLAVE NEW DELHI 110017

130 M000293 JAGDISHWAR DAYAL MATHUR E-22, (IST FLOOR) KALKAJI NEW DELHI 110019

131 M000310 DINESH MEHRA Flat No1605 REGALIA HEIGHT , SHIPRA SUNCITY Indrapuram U.P 201010 9810074844

132 M000353 RAMINDER KRISHAN MARWAH 106,SANGAM APARTMENTS OPP. AMBICA VIHAR PASCHIM VIHAR NEW DELHI 110087 9899442705

133 M000391 MURLI DHAR B-30 NEW RAJINDER NAGAR NEW DELHI 110060 9818119977

134 M000434 K.K MOHINDRA 104 BHANOT CHAMBERS 3 COMMUNITY CENTRE ARAM BAGH NEW DELHI 110055 9811032700

135 M000446 KRISHAN KUMAR MATHUR 330 D,pocket 2, MAYUR VIHAR - II DELHI 110091 9818902332

136 M000507 M.R. MITTAL 230, TARUN ENCLAVE PITAM PURA DELHI 110065 9911778522, 9811198020

137 M000554 RAKESH BAHADUR MATHUR B-1/1254 VASANT KUNJ NEW DELHI 110070 9811211092

138 M000557 B.B MATHUR BH-4, ABHIMANYU APTT. 65 VASHUDHRA ENCLAVE DELHI 110096

139 M000558 N.B MATHUR FLAT NO. 24, JAI LAXMI APTT. 59 I. P. EXTENSION DELHI 110092

140 M000559 RAJESHWAR DAYAL MATHUR 1866 HAVELI JUGAL KISHORE CHANDANI CHOWK DELHI 110006 9313902100

141 M000563 VINOD KUMAR MEHRA B-26, CHANDER NAGAR,NEAR SURYA NAGAR, SECTOR XII,T.H.A.GHAZIABAD U.P 201011 9810071953

142 M000567 MANDEEP SINGH E-22 KALKAJI NEW DELHI 110019 9818968888

143 M000581 MAMTA MEHRA I - 9 JUNGPURA EXTN NEW DELHI 110014 9810001790

144 M000586 KRISHAN LAL MONGIA C-12 WEST AZAD NAGAR DELHI 110051 9350966191

145 M000628 VED MALIK 272,MIG PRASAD NAGAR KAROL BAGH NEW DELHI 110005 9313744052

146 M000686 JITENDRA MARWAH G - 73 EAST OF KAILASH NEW DELHI 110065 9810868865

147 M000689 ANIL MALHOTRA B-12 SWASTH VIHAR DELHI 110092 9810026527

148 M000705 MAHINDER PAL Dec-48 GEETA COLONY DELHI 110031 9311190088, 9810912222

149 M000726 R.K. MONGA D-2 / 15 KRISHAN NAGAR DELHI 110051 9910007574

150 N000002 I.K. NAGPAUL B-154 SECTOR-14 NOIDA U.P 201301

151 N000051 VEENA NAGPAL B-154 SECTOR-14 NOIDA U.P 201301

152 N000087 VIRENDER NAGPAL D-1B/34-C JANAKPURI NEW DELHI 110058 9810174616

153 N000091 JAI LAL NARANG JP 7 IIND FLOOR PITAM PURA NEW DELHI 110034 9312255539

154 N000095 OM PARKASH NAGPAL Jul-37 SOUTH PATEL NAGAR NEW DELHI 110008 8585965661, 9810073616

155 N000098 PARAMJIT SINGH NAYYAR CP - 42 PITAM PURA DELHI 110034 9811119996

156 P000025 PARMOD KUMAR 44 B.D ESTATE TIMAR PUR DELHI 110054 9810040287

157 P000030 PREM PARKASH FLAT NO -B.3012, SECTOR-56, DEVINDDER VIHAR (AWHO)GURGAON HARYANA 9968024749

158 P000038 AMRIK SINGH PASSI 1835, BHAGIRATH PALACE CHANDANI CHOWK DELHI 110006 9810056307

159 P000048 RAMESH CHAND POPLI 78, LODHI BHAWAN SHAM LAL ROAD DARYAGANJ NEW DELHI 110002 9818877645

160 P000058 SURESH KUMAR PURI C-7, KAILASH APPTT. SECTOR-4, PLOT NO. 2 DWARKA NEW DELHI 110075 9818399929

161 P000083 VIRENDER K PODDAR 44-A, 2nd FLOOR, NEAR SHAKTI NAGAR RED LIGHT KAMLA NAGAR NEW DELHI 110007 9899492460

162 P000105 S PAVAMINI 935 SECTOR-A PKT-C VASANT KUNJ NEW DELHI 110070 8826986237

163 P000110 VIJAY PURI B-112 GF, FREEDOM FIGHTER ENCLAVE NEB SARAI NEW DELHI 110068 9810018555, 9818196563

164 R000024 BASANT KUMAR RASTOGI 72-A, J&K BLOCK LAXMI NAGAR DELHI 110092 9990539621

165 R000077 NISHITH RAY A-48 KAILASH COLONY NEW DELHI 110048

166 R000078 ASHITH RAY A-48 KAILASH COLONY NEW DELHI 110048

167 R000084 RAMAN LAL RATHI C-59 ASHOK VIHAR 1 DELHI 110052 9313810750

168 R000092 PRABHU DAYAL RASTOGI Flat No.300, DDA FLATS. MANSAROVER PARK DELHI 110032

169 R000093 RAM KISHAN RASTOGI KAMAL TRADERS---360,KATRA NAYA CHANDANI CHOWK DELHI 110006 9312851276

170 R000146 RATTAN LAL GARG USHA WIRC NETTING FACT LTD 367-A, G T ROAD, LANE NO. 4, FRIENDS COLONY, INDUSTRIAL AREASHAHADRA DELHI 110095 9818118552

171 R000158 RAY BADAL A-48 KAILASH COLONY NEW DELHI 110048

172 R000173 DEEPAK RAWAL 11433, AMAR BHAWAN G.T.ROAD SHAKTI NAGAR DELHI 110007 9810522046

173 R000182 C.S REDDY A-41, SECTOR-39 NOIDA U.P 201301

174 R000185 S. PRIYAVADAN RAO B4/31, AZAD APPTT. SHRI AUROBINDO MARG NEW DELHI 110016 9717986665, 9818608431

175 R000196 J.V RAMAN 5-A KAMLA NAGAR DELHI 110007 9811340377

176 S000076 SURINDER KUMAR SETHI C-2/32, BAPA NAGAR NEW DELHI 110003 9873973438

177 S000127 VIJAY SALUJA D-5 / 5 VASANT VIHAR NEW DELHI 9818138578

178 S000150 KIRAN SACHDEVA C-43 FRIENDS COLONY NEW DELHI 110065 9810129598

179 S000207 S.K. SHANGLI 5 / 25,GROUND FLOOR,OPP.HAUZ KHAS SARVAPRIYA VIHAR NEW DELHI 110016

180 S000240 NARINDER NATH SHARMA BE 53 SHALIMAR BAGH (WEST) DELHI 110088 9818409994

181 S000268 VINO SAROF C-43, PARK AVEN., PLOT NO. 34&35 SURVEY NO. 111-D, BEHIND SAIBABATEMPLE, ANDHERI (W) MUMBAI 400058 9323016661

182 S000304 SURESH CHANDER SAREEN 108, SUKH DEV VIHAR NEW DELHI 110025 9871091111, 9811051913

183 S000331 SUDHIR DASS C-402, DPS HOUSING SOCIETY SECTOR-51 NOIDA U.P 201307

184 S000333 OM PARKASH SHARMA D-197 GALI NO. 9 LAKSHMI NAGAR DELHI 110092 9818603992

185 S000339 KRISHAN H SHIVDASANI 104/92, SILVER OAK APTT. DLF QUTAB ENCLAVE-I GURGAON 122002 9810113351

186 S000344 JATINDER PAL SETH B-308, SUN BREEZ APPT. SECTOR -5 VAISHALI GHAZIABAD 201010 9910507961, 9891534284

187 S000359 ACHLA SALUJA D-5 / 5 VASANT VIHAR NEW DELHI 110057 9818474720

188 S000414 K.C SHARMA C/O. MRS. BHARATI DAS HOUSE.D II/188 KAKA NAGAR NEW DELHI 110003 9312836687

189 S000428 SURESH SHARMA C-201, PLOTE NO. 23, EKTA CHS LTD,SECT = 13ROHINI DELHI 110085 9891062178

190 S000438 RAGHBIR SAINI 3427/2, REHGARPURA KAROL BAGH NEW DELHI 110005 9810128980

191 S000440 SURINDER KUMAR SHARMA DDA FLATS NO. 173-A POCKET AC-I SHALIMAR BAGH DELHI 110052 9821617283

192 S000446 ARTI SACHDEV C-43, NEW FRIENDS COLONY NEW DELHI 110065 9560966262

193 S000493 N.K SHARMA SHAKTI KHAND-II / A - 87 /FF-2 INDIRAPURAM GHAZIABAD 9990190024

194 S000495 JUGAL KISHORE SETH E-317 GREAATER KAILASH-I NEW DELHI 110048 9811070127

195 S000501 PRAVEEN SHARMA A - 101, BLOCK A MADHUBAN DELHI 110092 9810380535

196 S000525 MOHAN PRAKASH SHARMA 22 SHIVA ENCLAVE, NEAR HARSH VIHAR PITAM PURA DELHI 110034 9999040631, 9811375778

197 S000528 OM PARKASH SACHDEV J-192, RAJOURI GARDEN NEW DELHI 110027 9927662233

198 S000547 RAMESH SHAH A-9, 3rd Flor MODEL TOWN DELHI 110009

199 S000570 NARINDER KUMAR SOOD B-20 DEFENCE COLONY NEW DELHI 110024

200 S000582 SHIVDASANI DEVKI 104/92, SILVER OAK APT DLF QUTAB ENCLAVE I GURGAON, HARYANA 122002 9810113351

201 S000625 ASHOK K SINGHANIA 23 -C/O ANIL SISODIA ANAND LOK NEW DELHI 9825372373

202 S000641 ARJAN SINGH SANDHU E-87 KIRIT NAGAR NEW DELHI 110015

203 S000691 BRIJ DUTT SHARMA 1485, KUCHA SETH DARIBA KALAN CHANDANI CHOWK DELHI 110006

204 S000709 RAJESH C SEITH E-68 PREET VIHAR DELHI 110092 9810286890

205 S000710 RAVI C SEITH E-68 PREET VIHAR DELHI 110092 9810578436

206 S000740 HARISH SIDANA 86 NILGIRI APARTMENTS ALAKNANDA KALKAJI NEW DELHI 110019 9810058404

207 S000746 SURESH KUMAR SHARMA 3214, LAL DARWAJA SITA RAM BAZAR DELHI 110006 9873394071

208 S000766 SHREE NATH SHARMA 160 CHAWARI BAZAR DELHI 110006

209 S000782 SUSHANK KUMAR C-201,PARSVNATH PRESTIGESEC.93.A NOIDA UP 201304

210 S000800 R.K. SOOD C-1822, SUSHANT LOK- I, GURGAON HARYANA 122009 9891314419

211 S000814 RAMESH SHARMA 3361, KUCHA KASGARI SITA RAM BAZAR DELHI 110006 9212181716

212 S000819 ARUN KUMAR SHARMA H.S. NO. 576 -HIG FLATS 10th FLOOR SANSKRTI APTT .SEC 19-BDWARKA DELHI 110075 9312264836

213 S000820 UMESH CHANDR SOOD A-81 EAST OF KAILASH NEW DELHI 110048 9211138799

214 S000824 SUNIL SETHI 55 , I ST FLOOR, C/O AMIT KHURANA KAILASH HILLS NEW DELHI 110065 9811438228

215 S000827 VISHNU DUTT SHARMA HOUSE NO-25, SECTOR -46, FARIDABAD HARYANA 121003 9818223232

216 S000830 RAGHUBIR SING SAINI 274 IST FLOOR KAILASH HILLS NEW DELHI 110065

217 S000853 NARENDRA KUMAR SAREEN SAREEN SPORTS INDS. VICTORIA PARK S-COLONY MEERUT 250001 9837301231

218 S000859 MADAN LAL SHARMA J 5 / 13 DLF PHASE -II GURGAON 9810615884

219 S000931 MAN MOHAN SINGH 7/24, WEST PATEL NAGAR NEW DELHI 110008

220 S000934 LOKESH SETH J-5 /5 B KRISHAN NAGAR DELHI 110051 9810160042

221 S000976 SHIV KUMAR 31/8 EAST PATEL NAGAR NEW DELHI 110008

222 S000993 PUNEET SABHARWAL 128 PACHIM VIHAR EXTENSION NEW DELHI 110063 9999995126

223 S001001 A.P. SINGH D-28 AMAR COLONY (2nd FLOOR) LAJPAT NAGAR IV DELHI 110007 9868070047

224 T000047 PRAHLAD RAI TULSIAN B-1 / 71, RAJSTHALI APPTT. PITAM PURA DELHI 110034

225 T000050 PARSHOM DAYAL TAWAKLEY 21-DDA FLAT (SFS) GROUND FLOOR HAUZ KHAS NEW DELHI 110016 9810226665

226 T000067 UTTAM THADANI S-200 PANCHSHEEL PARK NEW DELHI 110017

227 T000083 RAKESH TIMMO B-531 NEW FRIENDS COLONY NEW DELHI 110065

228 T000097 SANJAY TAYAL C/O MR.SUNIL GOEL, A - 106 KAMAL NAGAR DELHI 110007 9818636953

229 T000103 DHARAM VIR TALWAR C-137 ASHOK VIHAR I DELHI 110052 9873175075

230 T000111 TEJINDER SINGH PLOT NO. A-804, DREAM APPTTS. PLOT NO. 14, SECTOR-22 PHASE-IDWARKA DELHI 110045 9910077505, 9811100672

231 U000015 SUNIL UPPAL 1390 NICHOLSON ROAD DELHI 110006 9350024356

232 V000076 VIMAL DHAWAN B-74 GULMOHAR PARK NEW DELHI 110049 9818637567

233 V000119 ANISH VIG B-2/2102 VASANT KUNJ NEW DELHI 110070

234 V000121 OM PRAKASH VIG B-2/2102 VASANT KUNJ NEW DELHI 110070

235 V000149 S.P VEDI 170 KAILASH HILLS NEW DELHI 110065

236 W000012 WASHINGTON KAMINETH C/o VIPIN KHANNA, C-642 GOUND FLOOR NEW FRIENDS COLONY NEW DELHI 110065 9810081116

237 W000040 VIJAY WADHWANI C /O WIJAIH MALIK, 2145,GALLI QASIM JAN BALLIMARAN DELHI 110006 9868108536

238 Y000010 SATISH KUMAR YADAV L-1/8 HAUZ KHAS NEW DELHI 110016

239 Y000011 YASH BIR SINGH FLAT No. D-24, PALIKA MILAN , KEVENTERS LANE CHANKAY PURI NEW DELHI 110016

240 Y000013 R.K. YADAV 65-B, RADHEY SHYAM PAR , SECTOR - 5 RAJINDER NAGAR GHAZIABAD 201005 9810663322

241 LM000031 MANOHAR VIDYA LANKAR 522, ISHWAR BHAWAN KHARI BAOLI DELHI 110006

242 LM000052 SATISH KUMAR MODI MODI THREAD MILLS MODI NAGAR U.P.

243 LM000062 ARUN KR GOYLE 4 AUROBINDO MARG NEW DELHI 110016 9810020461

244 LM000066 JUGAL KISHORE GARG B-3, I- FLOOR, PLOT NO.-91ARYA NAGAR SOCIETY, I.P. EXTN.PATPARGANJ DELHI 110092 9810352980

245 LM000086 HARISH JAIN A-5, MALCHA MARG CHANAKYA PURI NEW DELHI 110021 9899110097

246 LM000100 VINOD BANSAL 87/23, ANUPAM GARDENSAIDULLALJAL EXTN. I.G.N.O.U. ROAD NEW DELHI 110030 9810000732

247 LM000119 PREM PARKASH BATRA LD-94, TAWER APATTS. NORTH WEST DELHI PITAMPURA DELHI 110088 9312256445

248 LM000152 DALIP KUMAR VALECHA 55/3 OLD RAJINDER NAGAR NEW DELHI 110060

249 LM000158 IQBAL AHMED KHAN 3398/13 BARA HINDU RAO DELHI 110007

250 LM000171 RAJENDRA PRASAD GUPTA E-112, GROUND FLOOR KALKAJI NEW DELHI 110019 9930182119

251 LM000186 ASHOK KUMAR D - 79 A, 3rd Floor, Near Sindhi Chat Corner MOTI NAGAR DELHI 110008 8800375035

252 LM000192 RAJ KUMAR KHURANA 8670/14-B, SHIDIPURA KAROL BAGH NEW DELHI 110005

253 LM000198 RAKESH KUMAR SOOD 76, NATIONAL PARK LAJPAT NAGAR - IV NEW DELHI 110024 9717031115

254 LM000221 PRADUMAN KUMAR SHARMA S-32 GREATER KAILASH 1 NEW DELHI 110048 9818198967, 9811229515

255 LM000231 SURESH KUMAR M/S SHANKRA INDUSTRIES , PLOT NO H - 2, TEXTILE COLONY , INDUSTRIAL AREALUDHIANA PUNJAB 141008 9815433786

256 LM000247 VINAY GOEL C-20 MAHARANA PRATAP ENCLAVE PITAM PURA DELHI 110034

257 LM000254 ROSHAN LAL ARORA B-67, FIRST FLOOR KALKAJI NEW DELHI 110019 9811442424

258 LM000262 S.K AGGARWAL H-27 SANIK FARMS DELHI 110062

259 LM000272 RAJINDER GUPTA D-10 NEAR EAST PUNJABI BAGH BHAGWAN DASS NAGAR NEW DELHI 110026 9811011570

260 LM000280 UMA KANT BANSAL BANSAL BHAWAN. H.NO.- 1248,SECT.-2 ROHTAK HARYANA 124001 9896910181

261 LM000303 ASHOK KUMAR GULATI B-3/19, MAIN WALI NAGAR ROHTAK ROAD DELHI 110041

262 LM000315 VIKRAM MEHRA 9, DEFENCE COLONY FLYOVER MARKET NEW DELHI 110024

263 LM000320 VIJAY NRULA KH - 1501, A - 9 VASANT KUNJ ENCLAVE NEW DELHI 110070 9968059944

264 LM000341 NARAHARI AMIN B-10/10 PASHIM MARG, D L F PHASE-I GURGAON 122002 9810276863

265 LM000358 MANU BHAI PATEL B-10/10,PASCHIM MARG D L F PHASE-I GURGAON 122002 9810596448

266 LM000368 VARISHT BADHWAR C-28 EAST OF KAILASH NEW DELHI 110048

267 LM000374 S.P. RASTOGI 3736-NETAJI SUBHASH MARG DARYA GANJ DELHI 110002 9810073120

268 LM000402 SATINDER MAIRA 54 , I St FLOOR ANAND LOK NEW DELHI 110049 9711027806

269 LM000422 PRAKASH NARAIN MATHUR 1-E/501, ASHOK NAGAR, MILITARY ROAD MARAL, ANDHERI (EAST) MUMBAI 400072 9820082884

270 LM000426 SUBHASH CHANDER KHULLAR H-43 ASHOK VIHAR I DELHI 110052 9810922811

271 LM000427 VIPUL KHULLAR H-43 ASHOK VIHAR I DELHI 110052 9810125353

272 LM000441 PRADEEP KUMAR Kothi No.29, Block 4/5, Suvidha Kunj PITAM PURA DELHI 110085 9350103429

273 LM000456 MAN MOHAN SINGH G-44 LAJPAT NAGAR II NEW DELHI 110024 9911140503

274 LM000501 TULSIAN GULAB J5/52-I RAJOURI GARDEN NEW DELHI 110027 9818210346

275 LM000516 VINEY KUMAR MEHTA 9 U B BUNGLOW ROAD, FIRST FLOOR JAWAHAR NAGAR DELHI 110007 9891708323

276 LM000537 SUBHASH GUPTA Z-66 RAJOURI GARDEN EXTN NEW DELHI 110027

277 LM000538 R.M MITTAL C-197 MAYAPURI II NEW DELHI 110064

278 LM000568 PRATEIK LAL SEAN C/O VIKASH CHAUDHRY A-59 VIVEK VIHAR PHASE-I DELHI 110095

279 LM000588 AMITHAB KEJARIWAL C - 2 / 52, RAJASTHALI APARTMENT, 5TH FLOOR PITAM PURA DELHI 110034 9810086008

280 LM000609 MUKESH JAIN L-19 GREEN PARK MAIN NEW DELHI 110016

281 LM000631 K.C JAIN H.NO 246 SECTOR 15-A NOIDA U.P 201301

282 LM000637 ASHISH GUPTA M/S UNITED TRADERS, 43, AJMERI GATE DELHI 110006

283 LM000638 SANDEEP VERMA D-246 ASHOK VIHAR I NEW DELHI 110052 9811024600

284 LM000644 GULSHAN SACHDEVA 603-604, HEERA DHAM, SUNDERVAN COMPLEX, LOKHANDWALAANDHERI (EAST) MUMBAI 400053 9820084230

285 LM000658 ARUN LOOMBA 188 SECTOR-8, PUNCHKULA HARYANA 134109

286 LM000681 OM PRAKASH WADHWA D-29 RAJOURI GARDEN NEW DELHI 110027

287 LM000685 K.K DHIR D-895 NEW FRIENDS COLONY NEW DELHI 110065

288 LM000688 SUKHDEEP SINGH FLAT NO. A-804, PLOT NO. 14 DREAM APPTT. SECTOR-22 PHASE-IDWARKA NEW DELHI 110045

289 LM000716 VIRESH RASTOGI RAM BHAWAN 24 DARYAGANJ NEW DELHI 110002 9810048855

290 LM000719 INDERJIT NAGPAL C-163 GREATER KAILASH 1 NEW DELHI 110049

291 LM000739 RAJEEV ARORA 36, GURU ANGAD NAGAR EXT. LAXMI NAGAR DELHI 110092

292 LM000774 R.K PUNHANI 34/41 WEST PATEL NAGAR NEW DELHI 110008 9810229445

293 LM000777 KULBIR SINGH SODHI E-94 EAST OF KAILASH NEW DELHI 110048 9868148818

294 LM000816 ANAND SWAROOP SHARMA B-5/56, PHARMA APPTT PLOT NO-88 PATPAR GANJ I.P. EXTENSION NEW DELHI 110092

295 LM000857 MARTIN P PINTO 502, KATRA NEEL CHANDI CHOWK DELHI 110006

296 LM000859 VARUN ARORA E-561 GREATER KAILASH II NEW DELHI 110048

297 LM000880 MAHINDER SINGH B-55, ANTRIKSH APPTT, SECTOR-14, ROHINI DELHI 110085

298 LM000882 RAKESH JAIN 101 , BLOCK P U PITAM PURA DELHI 110034 9811015175, 9811140488

299 LM000895 AJAY SARUF SARASWATI KUNJ 8/3, ALIPUR ROAD CIVIL LINES NEW DELHI 110054

300 LM000910 KESHAV RASTAGI C-101 PREET VIHAR DELHI 110092 9810095590

301 LM000995 KRISHAN CHAUDHARY WZ 459 / 1 , STREET NO.24,SHIV NAGAR JANAKPURI NEW DELHI 110058 9810019322

302 LM001009 MINAL SHARMA A-4/163 KONARK APPARTMENTS KALKAJI DELHI 110019 9899978893

303 LM001016 KAMAL DUTT SHARMA INTERNATIONAL TRAVELS & TOURS, 4779 BALLIMARAN,CHANDNI CHOWK DELHI 110006 9811224477

304 LM001044 NAESH CHAND JAIN 14, RAM VIHAR RAM VIHAR, NEAR YAMUNA SPORTS COMPLEX DELHI 110092 9811085456

305 LM001065 SUMIT KHANEJA 3 ANAND LOK NEW DELHI 110048

306 LM001072 NARENDER PAL SINGH 128-B POCKET-IV, PHASE-I MAYUR VIHAR DELHI 110091

307 LM001076 RAKESH KUMAR KHANNA CHEMBER NO-422, SUPREME COURT NEW DELHI 110001

308 LM001088A R.C KHURANA R-68, 2ND FLOOR GRATER KAILASH I NEW DELHI 110048

309 LM001143 DEEPAK JACOB B 2 - 1003,SECTOR - 30 , UNIWORLD CITY GURGAON HARYANA 122001 9930991539

310 LM001153 JAI KUMAR TREHAN E-26 PANCHSHEEL PARK NEW DELHI 110017 9811233375

311 LM001187 MANU SAWHNEY C-141 GREATER KAILASH II NEW DELHI 110048

312 LM001188 ASHOK KUMAR DALAL B-502 , MUNIRKA APARTMENT ,PLOT ,NO,11 ,SECTOR-9DWARKA NEW DELHI 110075

313 LM001198 RAKESH KUMAR AGGARWAL 2491/B, DHARAMPURA CHAWARI BAZAR DELHI 110006 9811141684

314 LM001267 NARENDER KUMAR HIMMATRAMKAC-64, ROHIT KUNJ PITAM PURA DELHI 110034 9811154567

315 LM001296 ROHIT TANEJA FB-32 TAGORE GARDEN NEW DELHI 110027

316 LM001308 DHRUV BATRA W-11 GREATER KAILASH II NEW DELHI 110048

317 LM001365 RAJEEV KUMAR ROHATGI C/O BHAGWATI PRASAD & SONS 1819, BHAGIRATH PALACECHANDNI CHOWK DELHI 110006 9810122549

318 LM001374 DARSHAN KHURANA D-62,NEAR MOTHER DAIRY SHAM NAGAR NEW DELHI 110018 9891169732

319 LM001411 S. K. BOHRA H-20 MAIN GREEN PARK DELHI 110016

320 LM001412 DINESH AGGARWAL CERAMIC TABLEWARE PVT.LTD, S-707-A,ROAD NO.6, V.K.I.AREA JAIPUR 302013

321 LM001424 NARESH NARAIN 5, BLOCK F, UNDER HILL LANE CIVIL LINES DELHI 110054 9810140271

322 LM001448 ARUN KUMAR BAKSHI 57 ,BABAR ROAD BENGALI MARKET NEW DELHI 110001

323 LM001462 M DAYAL C-215 (L.G.F.), SARVODAYA ENCLAVE SRI AUROBINDO MARG NEW DELHI 110017 9810056649

324 LM001464 ANAND PRAKASH 165/2, Hig DUPLEX, SECTOR-15, VASUNDHRA GHAZIABAD U.P. 201012

325 LM001479 AVINASH HALDIA X-72, Regenci Park IInd DLF CITY, PHASE-IV GURGAON 122009 9810605430

326 LM001487 MAHABIR PERSHAD F-8 EAST OF KAILASH NEW DELHI 110065 9811081300

327 LM001510 NARESH KUMAR KASERA A-166, (GF) ASHOK VIHAR I DELHI 110052

328 LM001513 PANKAJ RAI 2502, ATS-II, PLOT A-58, SECTOR-50 NOIDA U.P 201301

329 LM001572 H. K. AGGARWAL ROAD NO-42, HOUSE NO-42, WEST PUNJABI BAGH NEW DELHI 9811170531

330 LM001613 SANDEEP SHUKLA 62/154, HARBANSH MOHALLA KANPUR 208001 9886666666

331 LM001644 G.K. VERMA 3140, GALI NANWATELI TURAKMAN GATE DELHI 110006

332 LM001655 SUNIL TREHAN A-22 NDSE-II NEW DELHI 110049 9811082473

333 LM001715 ALOK KUMAR 2/7, COURT LANE CIVIL LINES DELHI 110054

334 LM001799 VIVEK RAI NANCHAL C1 A /18 A JANAKPURI NEW DELHI 110058 9811045612

335 LM001801 SHARAT KUMAR 10 / 8, GEETA COLONY GANDHI NAGAR DELHI 110031 9718190080

336 LM001818 PANKAJ P SAHNI B-6, GRATER KAILASH I NEW DELHI 110048

337 LM001819 ARVIND C KACKER 127, NAV JEEVAN VIHAR NEW DELHI 110017 9811069625

338 LM001876 DEEPAK BATRA KU-2 IIIrd FLOOR OPP DIST PARK PITAM PURA NEW DELHI 110034

339 LM001903 RANDHIR CHAWLA C-684 NEW FRIENDES COLANY NEW DELHI 110025 9811011773 Expired as per rajan manchanda ji, letter draft & given to Mahavir Mewati.

340 LM001910 B.B. LAL AGGARWAL G-303 PREET VIHAR VIKAS MARG EXTENSION DELHI 110092 9810603003

341 LM001940 RISHI SINGH SUIT 102, 75 LINK ROAD LAJPAT NAGAR III NEW DELHI 110024

342 LM002057 MOHIT GUPTA 45/6B, RIVIERA APPTS NEAR PNB MALL ROAD DELHI 110007

343 LM002166 VIPIN KUMAR MISHRA 12 / 10, NEHRU ENCLAVE KALKAJI EXTENSION NEW DELHI 110019 9911485555

344 LM002361 SUNJAY JAIN A - 55,VASANT MARG VASANT VIHAR NEW DELHI 110055

Expired as per rajan manchanda ji, letter draft & given to Mahavir Mewati.

Receipt No. LM_____

AFFIDAVIT/DECLARATION FORM TO BE SUBMITTED BY

LIFE MEMBERS

I __________________, son/daughter of _____________, aged _____ years, member of Delhi District Cricket Association, do hereby solemnly affirm and declare as under:-

1. Membership No: ______________________________________

2. Present Address: ____________________________________

__________________________________________________

3. Profession: __________________________________________

4. Member since (dd/mm/yy): __________________________

5. Whether the member is residing outside India, (Yes Or No)

Mention details): ____________________________________

__________________________________________________

6. Address for correspondence In India for a member who is resident

abroad: ____________________________________

___________________________________________________

__________________________________________________

7. Whether the member has being adjudged insolvent, (Mention

details): ___________________________________

___________________________________________________

__________________________________________________

8. Whether the member has been convicted by a competent Court for

any offence involving moral turpitude (Mention Details):

___________________________________________

___________________________________________________

9. Whether the member would like to continue, discontinue/resign

(Mention Reasons): ________________

____________________________________________________

10. Any other information /Remarks:_____________________

____________________________________________________

Signature of Member VERIFICATION : - Verified at ____________, on this _____ day of ___________, 2017, that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therefrom. If any of the information are found to be false, then I will be liable to be prosecuted under the Criminal law.

Signature of Member

Annexures: 1. An extra Passport Sized Photograph 2. Photo id and address proof

Receipt No. OM_______

AFFIDAVIT/DECLARATION FORM TO BE SUBMITTED BY

ORDINARY MEMBERS

I __________________, son/daughter of ________________, age ____ years old, member of Delhi District Cricket Association, do hereby solemnly affirm and declare as under :- 1. Membership No: ______________________________________

2. Present Address: ____________________________________

____________________________________________________

________________________________

3. Profession: __________________________________________

4. Member since (dd/mm/yy): __________________________

5. Whether the member is residing outside India, (Yes Or No)

(Mention details): ___________________________________

___________________________________________________

6. Address for correspondence In India for a member who is resident

abroad: ___________________________________

___________________________________________________

__________________________________________________

7. Whether or not the member has paid the Annual subscription till

2017, (Answer Yes or No, and attach proof is

paid):_____________________________________

__________________________________________________

________________________________________________

8. Whether the member has being adjudged bankrupt ( Yes or No,

Mention details): ________________________________

___________________________________________________

__________________________________________________

9. Whether the member has been convicted by a competent Court for

any offence involving moral turpitude (Mention Details):

___________________________________________

__________________________________________________

10. Whether the member would like to continue, discontinue/resign

(Mention Reasons): ___________________________________

___________________________________________________

11. Any other information /Remarks:_____________________

____________________________________________________

Member

VERIFICATION:- Verified at ____________, on this _____ day of ___________, 2017, that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therefrom. If any of the information are found to be false, then I will be liable to be prosecuted under the Criminal law.

Signature of Member

Annexures: 1. An extra Passport Sized Photograph 2. Photo id and proof of current address- Adhar/Election ID 3. Any other document if required