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Anjuman Talba e Islam

Enlight the light of Prophet ( PBUH) in Students Heart DATA FORM

Name: (Use Capital Letters) Fathers Name: (Use Capital Letters) Present / Permanent Adrees:

Organizational Status : Alive / Dead / Shaheed ATI Members : From ____________ to _____________ Date of Birth: ______/ ______/ _______ Day Month Year Date of Death :______ / _____ /_______

Telephone No : PTCL No : Current Stuatus : Qualification: Occupation / Profession : No of Children : ATI Members : From ____________ to _____________ Remarks ( Any idea or suggestion):

Date: ____________________________ Web: www.atipak.org

Signature: ________________________ Email: atipak@gmail.com rehan263@gmail.com

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