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Federation of Health Cooperatives Ltd.

Section 1: General Information

Business Address

Contact Details

Section 2: Business Profile

Section 3: Bank Details

Section 4 : Documents Checklist

Please attach clear copies of the following documents:

Section 5: Declaration

I/We hereby declare that all the information provided in this form is true and correct to the best of my/our knowledge. I/We agree to abide by the terms and conditions set forth by the Federation of Health Cooperatives Ltd.

Authorized Signatory

For inquiries, contact us at 011-45874496 or email fhscoindia@gmail.com.

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