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AMPS UNIT REGISTRATION/RENEWAL FORM, NY SECTOR.

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(Name of Unit Secretary and Address of the New Unit)

City and Country that identify the Unit

Indicate the place where the Unit have Dharma Cakra

Indicate the day of the week in which Dharma Cakra is performed

Indicate the time when Dharma Cakra starts

Indicate the name and the assigned duty

(Signature of Unit Secretary) (Signature of Acarya) (Place and Date) are confermed in writing on original paper as soon as possible.