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MMGHLATC 1A

12 APR 2017
.***,. DEPARTURE
IMMIG
GRATION CSIARROR w
A3-238
7VAIeY

19 29 SEP 2018 LOZ 3S 60


ARRIVAL
CSI AIRPOf
***
MUMBAI se-ev

. NOLLYHO

T URIGY REPUBLIC OF INDIA


ent/ Type / Country Code qer / Passpot t
P IND
y4r4/Surname L7522336
KUMAR
fea ma1 / Given Name(s)
ASHUTOSH
rgru/Nationality fe/Se pate of Bh
INDIAN 15/07/1985
e T / Piace of Birth
PATNA, BIHMAR
r a vuT/Place af iseue
PATNA
und v fesa/ Date of ls sue aDate of Expiry
Arkton. 27/02/2014 26/02/2024

PINDKUMAR<<ASHUTOSH<<<««««<<««<««4«¢s««««««
L7s22336<51ND8507158H24R222*«««caas6
NOLVAHS80/ Vahaaj

3OIAHAS snoaNV12oSIW /1b


BIk

freT/ faras / Name of Father / Legal Guardian


SATISH PRASAD SRIVASTAVA L7522336

T A/ Name of Mother
SANGEETA VERMA
f aeA /Name of Spouse

ven/Address
HOUSE NO-36,ROAD NO-6,PATLIPUTRA

INDRAPURI,PATNA

PIM:800024,8IHAR, INDIA

god rerchd i.attgurdorth afa vra /01dPassport No. withDateandPlaceoflssue


E4433436 12/04/2004 PATNA
dn iJ File No

LPA1077476547814

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