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Gia Insrcrone: All deta be ile i Block Letters En Tobe prenedan pn A paper se, Not renuted tno eter ed WA resident ‘Now Resident Indian (NR!) [new Enroiment [7 Update Request omume (TSR CTE 3S 50F5G verse +63 5 0 FSI raname (TAN See memoreNion eT | use oy Bg Apt: Street/ Road/ Lane: sra/iocany/ sec: [WY AYA PURWA visevomver. (BA DAGAON Office: = vest RADDUPUR ] Date of Birth OZIODIGI II) | sae | ceme (ADA GAO WWI DORA BARA BANK 7 Lm crt sbove enone dt of he en cet andTomacethasnocpebrteoe (ea ‘ [Oy Gazetted officer - Group A Aicen' Protos cross iges and cos stamped oper to photo or photo pope) RA Titoge Panchayat Heed or Mulia cosets ofcor- Group 8 E) s/s. ic Mcp coun Ca wart eh sates Ya a+ am teen Saree (7) Head of Recognized Educational institution Rowe Freon 1 superitendent/ Warden/ Matron/ Head of institution Orphanage of Recogriaed shelter homes Ol wece Sai kare TE ma api urs 17 8.223632 OAc mt No 23.2473 48 FOR Goan oo. 414008 documents tS Nos. 5, 141815 of Schedule I ofthe Aacha (Enamatond Update Regiatons, 2016, a mended Wom tne to

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