Img 20230105 0002
Img 20230105 0002
Img 20230105 0002
to be piinted on plain A4 paper rizei Not leqotred to pamt on lete, headl o5 ol 2-s'L 3
Resident's Details
Aadhaar Number;
6t n-B \
PlN aode:
6e-Z S J"Jega'. ku"an
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Drtc of Birth'
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Contact Numb€r:
10 7.6
I hereby cartlfy a6ove rnention€d deblls of tie resld€nt Ch€.lltlE lbr Ceidf,cr
aod I am a..., (Tlck lppropriito bor belovil
Exooverw.itin8 E bsue dale ir ,i[ed E 8estdent,s rEnalurc ElceftFer! detaitj
I G.retted ofiicer.Group A E ne.adent t Photo is cross saSned r.., crosj tramp at (papei to photo o! photo to popcrl