नामांकन म/ Enrolment No.

: 2189/78738/00602
Download Date: 28/10/2020

To
लीज़ा पु टी
Liza Prusty
S/O Chakradhar Prusty
Madhupur
Kanikapara
Jajapur Orissa - 755011
8908605642

Signature Not Verified

Digitally signed by DS
Issue Date: 22/08/2017

UNIQUE IDENTIFICATION
AUTHORITY OF INDIA 04
Date: 2020.10.28 08:31:31
UTC

9433 8051 1741

VID : 9194 7903 4836 0245

पता:
लीज़ा पु टी S/O च धर पु टी, मधुपरु , जाजपुर,
Download Date: 28/10/2020

उड़ीसा - 755011
Issue Date: 22/08/2017

Liza Prusty
ज म ितिथ/DOB: 08/08/1997 Address:
पु ष/ MALE S/O Chakradhar Prusty, Madhupur, Jajapur,
Orissa - 755011

9433 8051 1741 9433 8051 1741

VID : 9194 7903 4836 0245 VID : 9194 7903 4836 0245