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tmrtd teed edna, gees ARs seed, were, Hedy RO (Roa zch, were, aid) wate deo, wor, Bas, shgesdo, Bortec>—560003 wpreud eQxatdd xosd: 29-Seeveed-Dsi-7/2019-20 Owed: DE -11-2019 weston sioaimed (Legal Advisor) abdirt To3f umeddl shed Seabees RRrOd sdes Road; FEE 54 FTC 90, orivedd aes: 04.08.2003 cod wore, censiong mexess xoaimed (Legal Advisor) mifohQ noc seird wagA me emod abt dara, Aarkxe sey mmoihedoon wea wcios seedy, REBELS maomeQewoaN BaF 5, ASFA, ARGOS wermossom wxrobm, eagpxeans, 1. wate xgxbs appa: er cos wOeidodeh, meee ang: wwwaranyagov.in 3g Gusiarenrbacd. ertrobar, Aeromens vow stamosd aaa sGRO UA ped aoa), wore, KoogeOOROre (adoayed wUm, ad), wore, BAS, adgeado, doraecd — 560 003 dad seco Barce: 08..2019 Sod 16.12.2019 doch emer, 4.30 riowlabaidt xQxnabaondgs, verondh se mosepeson wale Uiljos sbeyky mapineabd minorseen Were, Asirlond Os ftme Ody sees meme colatihsck mow woys maddobit, etFoknoON wrigs AOmAc. 2, Bees: Meh emg seabeaeros mAesd sesinador (Legal Advisor) stead Bess GA. 60,000/- vad, ariQui@senndd, 3. abate ante: Br. re, Adria! dona aides 28%, | | Geld aaew show, wore, dodyrmapecory Bed] | 1 | wae does 1 | wore, als, adgeyTo, cloned | 4, emErs: eRFmde Rey mokegeA eg eadfos shrek, sagineotd myginQesceh wera, Aarha, Aajgoendded were ssn) aaiadrivs ay Aeam Salodrty a}, apsaiah, Raonedstatoandsied. Page 1 of 2 5, seeeaea: edrobm, eagAr ad sat soya, Orocindch, NOS Gt wOtauvoh Omovs, erromdd 70 dale 6. Bok, Agee: Aocisra sioeg maem xodined (Legal Advisor) adit ex mys) Arigsadend Gmrowciavh Seromcss vod mod exe SoyS Shoot eetrobsy, xgxeo Ssexeend. soritvens, BERS aa, wore, Kougeosed os208:83-11-2019 (anago, cre, Ze) Page 2 of 2 eres teed wore, aeosd SPS Shoe, wore, Kocx RH RD (Eadzeh, were, aid) wale ero, eer, aS, adgesdo, sorieacs-s60003 er thas WORAUS Nos: 29-atabee3—DS-7/2019-20 aero¥: 98-11-2019 RAE eal (Legal Advisor) act Than wmadd ches desbees Fiat wg vor, Weslo qui, UE ErVE, Far aa Fill Legibly in Fnglish (Capitals) or Kannada letters only a8.ets emetgetste ewdod woay osmajcte wale ce, aoRDE, There is mo Application Fee, wots Affix Recent Passport Size Photograph Leaeaedd afc iene Name ofthe Candidate 2. Gort / Sex oat moby Male Female 3.86, B08 /Date of Birth 8s /Day Borie / Month Baie / Year eo Ls] (eoerobm waryOh B20 SeefooNcies ot ebsantdad Bee0ss, weirceddh 70 stair Sosba,oy, AOdiedch) A. Sg Spamdegn aocee Ovod works sReute® wos, Address for Correspondence Mobile Number eosite ee oF data / PIN CODE 5. stew Osioc Hom) mbes a (etradd toe, ogoieprscen watee vattos SEH, syssoowd ayainpeaon Kerst, Ae wow dese DSW seb’ ani Bolero OH ees cametiy Owe Sshebageh) SNOT Rebar aR Soc eekee oad. Place / gv: warcedd ite Date / Qxeou: Signature of the Applicant

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