Makum Municipal Board

GOVERNMENT OF INDIA

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Inhabitant Certificate

Name
of the Applicant:

Father's / Husband Name :

Mobile:

Ward No :

Address:

District:

State:

Pincode:

Are you
Minor or Newly married Women ?

Yes No

Voter ID:

PAN Card:

Passbook
of Bank Account:

Ration Card:

Driving License:

Land Document:

House holding No.
with Reciept :

Police Verification: