Professional Documents
Culture Documents
Img 20230611 0001
Img 20230611 0001
p*: *ti- ,
,i"fi.. i"\:
I
.
|1i-$',.'!ir..i'ij
1. -;.
"'i
r._r t- -).r:: ,.
.$:qt#*,;
gBw$-yrm,
FAQIR fuor, €grgtr{, rtfq/Ed
CHAND FARIDABAD FARIDABAD MC Ward 31
\ Iother Re Iation
\amc l'alher \:lrrt DOR with Age Number \feln her ls
\anre trIobile .,\adhar
In conrc
Occupation Caste
F[(}F Dir"r,ang
FAQIR
DESH R,.\J K(]SHAL-\,A 72Y XXXX.
CH,\N1) l0/09i1950 SELF
f--
qrt \iut dt$.qr 9t\,{ XXXXXXO2O1 XXXX- 33000 pensioneriRcrired GEN N
Fftt{SrA ID 477'l
DARSFINA
KLI11.1P1 PARI\I,\,"\ANi) SiJDESH 65Y XXXX-
dPtit qrqT( KU\,{ARI 27107/19s7 WIFE, l0M XXXXXX020l XXXX_ Housewit'e GEN
sq{ 6gwt 15D 9SB2
0 N
I here bv declare that above details are true and correct to the best
of my knowledge
.{pplicant Sisnature