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IDENTITY CARD PERSONAL DETAILS

Father’s Name : MR.RANUP K HAZARIKA


Permanent Address : SUNDARPUR,ZOO ROAD,
GUWAHATI
CARD ISSUE NO. : DMMU/KAM/ID/52/2020-21/01 DATE: - __/ 2020 P.O :DISPUR
P.S :DISPUR
NAME: SWAGATAM HAZARIKA District : KAMRUP METRO
Pin Code : 781005
Date of Birth : 16 NOVEMBER 1991
DESIGNATION: BLOCK COORDINATOR Identification Mark : CUT MARK IN RIGHT KNEE
PLACE OF POSTING: BEZERA DEVELOPMENT BLOCK Blood Group : O+VE
Mobile No. : +91-8723082180
MRS. JURI DOLEY
PROJECT DIRCTOR DRDA, KAMRUP
➢ Loss of ID card should be reported immediately to the nearest Police Station and to the Issuing
MRS. JURI DOLEY Authority.
SIGNATURE OF CARD HOLDER PROJECT DIRCTOR DRDA, KAMRUP ➢ When employee leaves the organization, the ID card should be returned back to the office of Issuing
Authority.

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