GREATER HYDERABAD MUNICIPAL CORPORATION REGISTRATION FORM Aasara-SENIOR CITIZENS ALL FIELDS MUST BE FILLED IN CAPITALS Doctor Name: Doctor Tel:E-mail: Medical History Allergic to Suffering from Any specific interests For Example: Voluntary, walking, Yoga, Singing. Nearest Police Station: Details of Nearest Hospital Name Phone Number Mobile Number Email ID @ In Emergency, Local Contact is: (In Hyderabad) Contact Person* Relationship with the Citizen* Address* Phone Number Mobile Number Email ID @ In Emergency, inform (Outside Hyderabad) Contact Person Relationship with the Citizen Address Phone Number Mobile Number Email ID @ I certify that the above information is true to the best of my Knowledge and belief. Signature Enclosures: * 2 Passport size Photographs * Age & Address Proof: Ration / Voter Id cards / Driving License / Passport etc., Help Line No: 1253 / 23226982 Online form downloads at http://ghmc.gov.in or send by post to Commissioner & Special Officer, Greater Hyderabad Municipal Corporation, Municipal Complex, Tankbund Road, Hyderabad-500063