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LEAVE AND LICENSE AGREEMENT

Type of Party, Date & Time of Date ,Time of Information received from
Name & UID Admission Verification UIDAI(Name,Gender,Aadhaar No,Photo)
with UIDAI
Licensor
Maria Amirtha 11/01/2022 11/01/2022 Maria Amirtha Kala Anthony
Kala Anthony 02:55:35 PM 02:55:55 PM Xavier, Male, XXXX XXXX 8472
Xavier
Licensee
Gupta Dilip 11/01/2022 11/01/2022 Dilip Brijbhushan Gupta, Male,
Brijbhushan 02:57:13 PM 02:57:29 PM XXXX XXXX 8705

identifier for all


executants
11/01/2022 11/01/2022 Shrikant Suryakant Chavan,
Chavan
03:00:16 PM 03:00:34 PM Male, XXXX XXXX 3647
Shrikant
Suryakant
identifier for all
executants 11/01/2022 11/01/2022 Mohd. Moinuddin Sanjur Shaikh,
Shaikh Mohd 02:58:47 PM 02:59:05 PM Male, XXXX XXXX 9571
Moinuddin

Thumb Impression of SRO


Registered as Document No.812/2022 at the Joint S.R.Thane 2 on 13/01/2022 Page 5 of 5

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