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comes (ostiumt / ohlaoneu vera eis L060) awe Lp z TCL: SL gut semis / Simo + Cinaenry stor 5 ty 4 Mlairererdiussmait Quist Ao) ebo eae ‘ B @psGT sds) Bicdor Quo: 3. BHoogH Qos) Sovoreuflesr Oawsi 4 food goa yay Lib ey 4 wa use 22K, Dip P LEE & Aeiraoriusrnit GGO/AsreGemi Mums - gyyaxryT 0) Sleiorovertiugsrmit ass) B0 6. opus 1058 jooLuseninessir aes oD SDF BA a aig) A2bA band OLP nenypsrabs © oS yoy eStart g) wast | woessiressit Ca Ota 28) sein | wordt : | Re ot G) inemerra8 / essooreusér 4 iis 3 Slot ona) 2 poflssrit / 2 paslosrieende oucguomenrtd opioongs aggsrnid Gysemi 2 in? , Boe Ging Gerssrer 9 spaAeoriiessi wares) ce Apmsifagy sewmmad GumiieSiL miss? —— = DM of reir Debrougs om) 2.95981 e..p1sNGyneer op aumpasones gr. sop erie excpuaremupie Bledsnev. oat 24) YHCusm 2 GBoANFAgrors Eat_G DohHws eyo ogo Garinnsions &) ede Spb GL pabipgn®, 8 39 ajein ons ae AGE CERTIFICATE signature of the Applicant mmstoceniyim..oakereAannl.w lo. Dé fannie. \ IRENA who is residing at... ___ whose signature / LTL is given above is _ years old by his / her physieal appearence aged about as by his / her won statement. and examination as well ‘The Identification marks are 1 Dpansr gomud BG » hh Fond ledee : Station : pate : F- 2 Lo) 3 Signaturddnd designation Deel ARAAM MeemD.cH, enior Asst. Civil Surgeon, Reed. "lo: 52221, Govt. i: “pital, Panruti.

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