From
Mr. Dayanidhi Behera, Postal Inspector, Sonepur-767017
Mob- 9437639099 Email-behera.dayanidhi71@gmail.com
URL Address- www.maudamani.blogspot.com
The Data and information may be sent to me on the above address in English to contact you easily and for future referrence. Thank you for your co-operation.
The blogger
DATABASE FORM (FOR WRITERS ONLY)
1. My Name :
2. My Father’ Name :
3. My Mother’ Name :
4. My Date of Birth :
5. My Birth Place/ District :
6. My Mob. No. :
7. My Email Address (If Any) :
8. My Present Address :
9. My Permanent Address :
Signature/ Date
