MILK COLLECTION CENTER NAME (दूध संग्रह समिति का नाम दर्ज करें) SECRETARY NAME FATHER NAME / HUSBAND NAME DATE OF ISSUE AADHAR NUMBER VILLAGE /TOWN WARD NUMBER POST OFFICE NAME POLICE STATION NAME DISTRICT NAME STATE NAME VILLAGE / TOWN PIN CODE MOBILE NUMBER NOMINIEES NAME , AGE , REALATION INTRODUCER NAME INTRODUCER AADHAR NUMBER INTRODUCER MOBILE NUMBER PRESIDENT FULL NAME PRESIDENT AADHAR NUMBER PRESIDENT MOBILE NUMBER TREASURER FULL NAME TREASURER AADHAR NUMBER TREASURER MOBILE NUMBER WITNESS NAME , MOBILE NO. , AADHAR NUMBER जमा करें (SUBMIT)