au 2m H@onpfl/ Self Declaration STSGSGH wren, Yaga aL, aadosnrG Apmod / garb, 1/33 B spa coin Aart Conc O56 Qsgld adlied Aedacr sect ors Gar simguier Gums Hey Geusrorsgies aySu wre, sroronne euprvesCi BSASET sinengsgid Grex silks aimauld eeirenn comay,ers sRaucdeenid serene) venpasuisildered crorab, pret gefl5s Saadacr/ s,cieemissc Loineowsg YObunoreoa ctor Verena Ashu isso, QsSwu seim_enoné SLL 177 wip 199-6 Sp conde Glows sf Suen prargdens CoHAsncreriuGid coring sACacr rong susmenCanG 2 pySuoisslerCeir. | am Selvan Arul Summanth V son of Thiru Velladurai residing at Door No. 1/33 B, street of Sivan Kovil Street Village / town of Vallanadu North, Taluk of Srivaikundam, Thoothukudi District, Tamil Nadu State. The details furnished by me are true to the best of my knowledge and believe and nothing has been concealed herein. | declare that | am well aware of the fact that if the information and documents given by me are proved to be incorrect / not true in future, | shall be liable for prosecution under section 177 & 199 of the Indian Penal Code. Signature of the Applicant / wgyeroiér exQuiniusd