00388283. 7. WA RELI/ANCe ©) MINE zi || acorn: Bag hbh 4 6lo49 1. Status of Subscriber" Linc C1 Outstation [se Cicoponte — CleoerCicoce §~aGene t.Protuct Tp MobteC cata car 1 We SME 00 C1 30/08 3. Propo Pop CI Ponti tepid C1 Reener 4. Customer / Company Name = —— e: Sy: ns cer ‘Authorised Signatory _______ Designation __No. of Connections: —_ a _peridabes 6. Gender: CMETF 7. 0ate ote 95, (LIF) [P99 Do Paes no 8. Nationality * 5 Foreign National Passport No. Valatyt_/_/__ Vis No. ____ Vea Valet tt __/_ O msg 10 neato meoiene AIG] BSH |. at 12, Number of Mobile connection held in name of appcant = eg — 0 ‘tact aang ten: Hens JA omer AR THAWORT. BASE max MORASSIBL PAT Lockie ERAS” car SALEM states FC __pncote ETB] 12. Permanent Acdresss: House No _ Stroot: te reterasaes PohAORGP ABN 6a ode acy 15, Local reference of outstation customer Name sires a3 mes 16, Tart Plan applied” 17. Mode of Payment : [) Cash [) Cheque [ cresitCard [] Debitcard si Cl cs Debit card no /Cheque/DD No. IOHHws oysmmisid wBlay en_wuTomb / Enrollment -2007/13366/01786 To oradeur sisson Lavanya atone (00: Athan & varksvnacar § narasommearr § salen * garam Salo Sao “Tart Nad 636004 3 osrrraoeas 3 RMN } 1601) Your Aadhaar No. : 3228 6466 6073 1 BISmpom wager asap zt BS. : AADHAAR Seed | . ring Sunnie a aD | % steoLusor encnenp Qenamugemd eperid SLUGS AMS Caetoneyid INFORMATION | " Aachaar is proof of identity, not of citizenship . " To establish identity, authenticate online . = B55 BO CoyaPend Gedgyuqungid F AGAsTOZ9O sins wood sme Engr Cemaisonsi wueuOSSHS Asncion 2455) epalsqors QGEseb /= Aachaar is valid throughout the country . J" Aachaar wil be helpful in availing Government] | and Non-Government services in future . ‘iain sos Gry Unique tdentiteaton Authority of incia wang. Acres 2 scr, 10: Arana, Housel Apt: AORCLLIngah ump: 7 447, SreetRoadnane Rev Sp: ¢5 ato cd ay. NAGAR, Landman Soden prcensucy, NARASOTHIPATT, AmodAD sendgani ‘VilagerTourCiy: Salem P.0, Gres avEFe0e amps, Alsgapuram, Slate Tarn Node, land sip a9, Pincade: 36004 an s)DeARL te | 3228 6466 6073 J 2 & ORIGINA