Apply For Essential Service Pass(Madhubani,Bihar)
Information on providing Essential Services
Block Name	Select Block Andhrathadi BABUBARHI Basopatti BENIPATTI BISFI GHOGHARDIHA HARLAKHI JAINAGAR JHANJHARPUR KALUAHI KHAJAULI KHUTAUNA LADANIA LAKHNAUR LAUKAHI MADHWAPUR PANDAUL PHULPARAS RAHIKA RAJNAGAR MADHEPUR	Name:
Essential service types	Select Service Bank / Finance / ATM Cable TV Company Government / Civil Government Dairy LPG Gas Delivery Medical(Hospital / Ambulance) Medical(Pharmacy / Shop) Petrol Pump Press (Media/Reporter) Ration / Groceries / Food Telecommunication Transport Other	Vehicle number
			Inter State Vehicle Paas
Mobile No.		E-mail:
From Date		To date
Essential Service Reasons / Purpose		Address:

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