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Registration Form

ତାରିଖ / Date
ନାମ / Name *
ବିଭାଗ / Category *
ମୋବାଇଲ୍ ନଂ / Mobile No. *
ଇ-ମେଲ୍ / E-mail Id.
ପ୍ରକାର / Type *
ବିବରଣୀ / Description *
ଠିକଣା / Address *
ଅପଲୋଡ୍ / Upload
କ୍ୟାପଚା କୋଡ୍ / Captcha Code

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କ୍ୟାପଚା କୋଡ୍ ପ୍ରବେଶ କରନ୍ତୁ / Enter Captcha Code *

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