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'3'1➔ 1"1 I Surn ame

KUNAR
~ 1TlTr ;;r:J" I Given Nam e(s}

SAURBH
vt..lff?f ~ / Date of Birth f<.JiT / Sex

03 /05 /19 99 M
~ ~ I Place of Birth

DARUPUR,BIHAR
vTTf, ~ if>1 '(WPJ / Place of hs ue

PAfNA
~ ~@ 1~/0 .ueo tt~ ,y
....-- ~ ~ ~ FRfe.fI Dale of Issue

L 15 /04 /20 21 14 /04 /20 31

AR << SA UR BH << << << << << << << << << << << << <<
P<INDKUM
20
U9 39 97 53 <1 IN D9 90 50 38 N3 10 41 49 10 65 32 43 52 62 1<
- -- - - --- - - - --- .. ·-:. ... -
- .......-. .. .. . '.

,-i,illl111 ~ n l i~
' ,..,\- '
·- . '
....

U9 39 97 53
fria- I co'1.➔I 311~' 4,Gci> cfif ;rp::r/ Nam e of Father I Legal Guardian
JAGDANBA PRASAD
~ ' V i ~ I Nam e of Mot her

BABY PA RV lfI DEVI


~-nq;; ~ / Nam eof Spousc
"Kim G

~ I Adaress

NEAR RAKSHABIR MANDIR DALMIANAGAR

DEHR[ ON SONE,ROHTAS

PI N: 82 13 05 ,B IH AR ,IN DI A r

. .
• •

'

~ 41=tf4)(!ip'f ~ ~ ~ ~ ~ ~ ~ ~ ~ / Ofd Passport No. with Date c:1nd Pface of lSSUt'.

~ , / file No.

PA 10 65 32 43 52 62 1

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