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‘12r2, $22 PM Now LL Acknowledgement Application Reference Slip Application No: 11591322 Name Application Date 02-01-2022 Date of Birth Blood Group: At Father Name Applicant Gender : Male : CHIRANTAN KASHYAP + 22-02-2001 : RATNA KALITA Services Requested Documentary Proof Required 1. Issue of New Application ( MCWOG ) + Address Proof (Present) reference °~ Application submitted through eKYC. IRLA Office for same. The acceptance of application \documents in accordance with legal provision. laccordingly. ~ Your application is submitted for processing and quote this Application Number: 11591322 for all future °~% AnSMS has been sent to your registered mobile Number : *****6672 Note 1: The mentioned service(s) are Faceless / Contactless hence you are not required to visit RTO/ 2: Application status can be tracked online, if application status is “Reverted” modify documents is subject to successful Scrutiny of uploaded data / For any reference visit: https://sarathi.parivahan,gov.in/sarathiservice Applicant Address : 8 SATGAON PRAGATI NAGAR Udayan Vihar Kamrup Assam Pincode : 781171 htpsusarathi parivanan govinisarathiserviceinewLLApptoredirect do RTO Location DTO,KAMRUP (M) BETKUCHT NEAR HONDA SHOWROOM KAMRUPNE-37 PinCode: 781034 Phone: 0361-2540149 Application Form (pre filled), Print Acknowledgement

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