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Stage 2 of 2 towards Gold Membership

Please fill out the details in the below form.

PINCODE INFORMATION

Page 1 of 3

Please fill in the answers to these questions to the best of your knowledge

Select District for potential EUC

Select Pincode for potential EUC

Why do you feel this pin code is suitable for this project

If yes, then please tell us since when are you residing in this area

Since birth

Shifted here post marriage

Recently moved here (Less than 1-2 yrs)

Other

Is the Pincode of your residence and proposed EUC the same?

Yes

No

If no, then please share your reason for interest in this area

Own land in this area

Have a relative owning land in this area

Want to setup my presence in this area

Other

Share a short summary about your pincode (Write or record an audio or video message)

Upload Audio Message

Max File Size 15MB

How far is the nearest Popular Cinema Theatre from the Potential EUC Location

Within 5 kms

10 kms to 20 kms

20 kms to 50 kms

More than 50 kms away

Upload Video Message

Max File Size 15MB

What type is the nearest cinema theatre to this location?

Single Screen

Multiplex (More than 1 screen)

What is the name of the cinema theatre

Save and Continue

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