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Und for the members of--------- 1. Name of the Proposer & Address (Nodal Agency) 2. Particulars Of Nodal Agency 3. Scheme to be described as 4. Date of Commencement of the Scheme 5. Eligibility for membership of the Scheme 6. Participation 7. No, of Members proposed to be covered AAM ADMI BIMA YOJANA for the members of ---------------------------------------------------------------------1 st day of -----------------------------------------------------------All members aged between 18 & 59.

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