fQ'ffl / lfiFi_;ft ~~"'t"<1<11 q,-r ~ I Name of Father / Legai Guardian

SRI VENKATA SATYANARAYANA MASABATTULA ~v11 949657 ...

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- -·~T't / Name of Mother
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.

JANAK! MASABATTULA
- -qfa -~1 ~
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tr. ~ / Name of Spouse

"Q<'fl / Address

D-NO. 24-404/3,ERUKUPUNTHA ROAD

VELPURU,TANUKU,WEST GODAVARI
.
PIN:534222,ANDHRA PRADESH,INDIA .. ..
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~ ~ ~ ~ ~ / Old Passport No. with Dato and Place of Ur$t.t&

qif("~ wt I File No.

I VS2067891410514 J
 ~l~d :a1ol'<lu-~ REPUBLIC OF INDIA
-------- ~ I Typo ~ ~ / Country Code Ql'tf41i! -Pl / Passport No.
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e
, ..P ----
l+t / Surname
IND M194965"i
MASABATTULA

USHA SAI
'<itS{l~ktl / Nationality ~ / Sex 08l e of Bart
lt~DIAN F 93
~I Place of Bi;1h

RAJAHMUN DRY, ANDHRA PR

··~? ~ ·.,-r · ~ 4'i1 ~A / Place of Issue
..
r / ~,. HAPATNAM
?',. .:ill I Date of s u P

', 1 ::;9 / 2014 31/08/2024

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P<INDMASABATTULA<<USHA<SAI<<<<<<<<<<<<<<<<<<
M1949657<3IND9306174F2408312<<<<<<<<<<<<<<<8
 ~l'< C1 :a1 01\el\J"ll
-e•~-
~q I Type
... ___ OF INDIA
REPUBLIC
---·· ------· _...
~ ~ /Country Code
_________ ......,qr;;a-
q~~e ~/ Passport No .
. . .P______,.,___ _,-:;1.~.Q_ _
'3 4.:Wi'4 / ~urn~"'ilrt
M1949657
MASA BAT TULA

ft;i'it /Sex

F 993
•• ~ ~.;:v=r I Ptac.e of Birth

RAJAHMUNDRY , ANDHRA PR
~ ~ cf>T ~ Place of i I·- -~~~~~ - - -
r • . Ab g "' 7
VISAKHAPATNAM ~=~
1--{ ' ~ - a (l . ~ ~lift ~ / D~e of lssu ~ :a'

-' ~ 1/09/2014 _ 3 '!__1 0 8 / 20 24_

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P<lNOMASABAfTULA<<USHA<SAI<<<<<<<<<<<<<<<<<<
M1949657<3IND9306174F2408312<<<<<<<<<<<<<<<8