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Form 49A Batch Sheet

PSA Service Center


PRAMOD PASWAN
Name :
PSA Service Center
RAMPUR PACHASI PUPRI SITAMARHI
Location :
PSA Service Center
KMR24958
Code :

Batch No BCH11160004 Date 08/02/2021


No of Application(s) 5 Amount 535.00
Batch Type SCANNED BATCH

Application
Sr No First Name Middle Name Last Name Contact No
No/CouponNo
1 G041911522 RADHA DEVI 7070741401
2 G041911523 PUNEETA DEVI 8603907130
3 G041911524 CHANCHLA KUMARI 7321904734
4 G041911525 SADHU PASWAN 9150717548
5 G041911526 CHULHAI THAKUR 8227054178

PANMITRA ONLINE SERVICE PRIVATE LIMITED- PRAMOD PASWAN [KMR24958]


(Sign with Date/Stamp)

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