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Senior Citizen Card Application
Step 1
Application
Name
*
Gender
*
Female
Male
Transgender
Date of Birth
*
Blood Group
Choose
(A+) positive
(A-) negative
(B+) positive
(B-) negative
(O+) positive
(O-) negative
(AB+) positive
(AB-) negative
Step 2
Present Residential Address
Address
*
State
*
--Select State--
Karnataka
District
*
--Select district--
Pin Code
*
Contact Details
Mobile Number
*
Email ID
*
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