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~ d ' "1I'-'r~{--'7" REPUBLIC OF I NDIA

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.;::::::_~ ~/Surname ;> 46 3861 7
;:;_ VERMA
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f-!'m 1TT1T ~/Giver: Namc{s)

KOMAL
'ITT~l,1"1/ N.:1,cn-::1,-:;,- - • - ,:_,,.,·,sax"~ tit£~ \.ate of Birth
~/IND!MI F ,:.25"' 8 h1998
GP1~ /-P""i;cil of 6i,,h- - -- ····- ~:
.....i LUDHIANA, PUNJAB
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Place of lssuo : "
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I. ' CHANDIGARH -~ " - ,,


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50/09/2016 29/09/2026
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BALDEV RAJ VERMA


;:r, .' f t Lrnr• - 7•! --1r::1 I Name of Father I Legal Guardian
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P4638811
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-.-: -r, an =rr::r / Name o f Mother

KIRTI VERMA

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H.N0.2032/32,ST.N0.37,BAROTA ROAD,GURU GOBIND


SINGH NAGAR,NEW SHIMLAPURl,LUDHIANA

PIN:141003,PUNJAB,INDIA , f •••

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