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English हिंदी मराठी తెలుగు தமிழ் മലയാളം ગુજરાતી বাংলা ଘୃଣା ಕನ್ನಡ
APPLICATION FORM FOR VICTIM COMPENSATION
State*: District*:
Application For *:
Applicant Name *: Gender *:
Name of Victim *: Gender *:
Father Name *: Occupation *:
Mother Name *: Occupation *:
Relation of applicant with victim *:
Age of Victim *: Date of Birth of Victim *:
Address of Applicant *:
State*: District:*
Mobile *: Email*: