You are on page 1of 2

Please fill all the details and do NOT edit the headers

Details of passengers moving


Current Address of Passenger ( c )
S.No Name of thMother/FaTraveller AGender (M/Aadhaar Number
(c)House/Door/Number
(c)Street name
(c)Locality
1 Sudarsan Anbalagan 23 M 851177567670 12/155 River Side Street
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
You can add only 30 or lesser passengers. If there are 10 passengers, fill first 10 rows
o NOT edit the headers (in red)
sengers moving
ress of Passenger ( c ) Destination Address of Passenger ( d )
(c)Taluk (c)District
(d) House/Door/Number
(d)Street name
(d)Locality (d)Taluk (d)District (d)State
Harur DharmapurNo. 5/260 Ponniamman Medavakk TambaramChengalpetTamil Nadu

passengers, fill first 10 rows and leave the other rows empty

You might also like