*1ffi'

s,vo
Bgza.*"';",Hi."0##lffii$";

Date
or.DR.,?

q4lE PAss
uy-- a. 6.a4ffffiffsffllU_

t"

Padicuiars

oL,l e
Et.''.e:
e o EleJ
F --;---:-:-r t"!Evtr:
0 {_- , e - ^

utv I Remarts

=--l

, os Nol

854 *+.1k F Frvtr

7, .-:'ryo
e;"01
n^Ji.,
t4j/L hL

/oo^*

A 2oor,,n

ltco ,4x)r/otl1o"ip
*4.,a-a$ s, 9oo,.?
oo,&q9
d8 ^f
j/u .l?9c/<,

oN. ftt\tl Purr4a,

d 8 . (( zzX enAlo 5 r'.;^
t\4 4pJ S ^4 PlqF
l o . PlahrzL{ir,;,.a e-<!""!

it

Pv c Q)a-^Q
Qvc lipt l lal

\\\

v,Z

{-ocE4"1 to ir-os*too\(rJ

!f ,,h ruttr.^ L\-r

(TotalNo.of fiems
in Words

Probabledateof return
:

rn.f'l,rybfrr.1,
Recejver,s
Sjgnal/rewnhStamp

'--

!].luRNaR'

- ^---

_ u-_L?

\\LiN

oo,' ouo*-,g
u d-*}ru;E;
- , *v. raaak
\a+ glU. =o-.
^
'.t f"r,

ffiy;
'/"1{5ft;'/.",Yi r.""r".""il
l'"
'/""T
OJ

t /,r''

RemaG

Yi' r1.lo
c""^*i..-- /.J

T co.*"'[.,.

I B r..rutl

6l-

ry=xro Sc,L,,r
\ \^

Cd- -Sa,L..r_r,

56

:p{
$!..

QpL +1* P,
sD:cAD:Fo3:oi
:olo1o2