Paga No.

Date

NMMS Q93-494

NAME i NTRTA 6HEKHAR WANT:

.MaHER NAME KAVTTA SHERHAR Wan :,

GRANDFAHER NAME TANAT STIARAM WANT

BTRTH DATE dlo1/201t

CASTE HNDu MARATHA

AADHARNO 9982 4507 8A94

BROHERS L

ATSTERS:

yoUR NO TN BuBLTNGS Q

EATHEREd - oth

MoTH ER Ed: h

FATHER OccupIITON:Auto DRIVTNGL

MaTH ER 0CcuPTTToN: HouSE WTEE
 Page No.
Date

FAMILY TNCOME L20,0 0,:

FAMIIY MEMBERS4i
ADDRE65SANATH CHAN ROOm i Na4NEAR
SONA HOSPITAl RHAT AD GHAT(N
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