1.Personal Information

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Profession  Area of Specialization
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Company Country
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Place of Birth Native Place
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2.Additional Information


Achievement Membership of Associations
  

Please state if you are actively associated with other Kokani Organisations
  

Additional Comment
  

How Would You Like to Contribute to Kokan Seva Manch and Kokani community

3.Declaration

    I hereby declare that the information furnished above are true to the best of my knowledge.