Spa Photoform Typed - Purchaser 1

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PHOTOGRAPHS AND FINGERPRINTS AS PER SECTION 32-A OF REGISTRATION ACT.

1908
SI. No Finger print in black ink (Left Pass port size Name & Permanent Postal
Thumb) Photograph (Black & Address of Presentant/
White) Seller/Buyer
Left thumb impression of
Purchaser

Photo
of
Purchaser

SIGNATURE OF THE EXECUTANTS

Note: If the buyer/s is/are not present before Sub-Registrar, the following request should be signed.

I/ We send here with my/our photograph/s and finger prints in the form presented,
through my representative ________________________________ S/o ____________________________
as I/ we cannot appear personally before the Registration officer in the office of the Sub-Registrar of
Assurances _____________________

X
Sign Of the Representative Signature Of Buyer

Sign of Witnesses.

1.

2.

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