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You can print the form & send it to below locations

Hindi Version

Gujarati Version

English Version

Collection Centers

Offline forms should be sent via courier.

  • Smt. Ninaben Gala
    Smt. Ninaben Gala

    801, Satya Sadan,
    Napoo Garden Corner,
    Opp. Veera Heights,
    295, Bhimani Street,
    Matunga CR,
    Mumbai – 400 019
    M – 09082826281

    • Shri Pineshbhai Mehta
      Shri Pineshbhai Mehta

      C/o. P. Rameshchandra & Co.
      119, Sarkiwad ni Pole,
      Sarangpur Darwaja,
      Sarangpur, Ahemdabad – 380002.
      Tel. (079) 22111819
      M – 9428534203

      • Shri Kulinbhai Shah
        Shri Kulinbhai Shah

        C/o. Adinath Medicine,
        TU-02, Shankheshwar Complex,
        Near L. G. Showroom,
        Kailash Nagar, Majura Gate,
        Surat (Gujarat)
        M – 9574696000

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