12532309236003813507

Office of Tehsildar
Ref 1: G.R.P.& S.D. No.1586/34­D, Dated 17.5.1951
Ref 2: G.R.GAD No. Mis.31/76­Desk­xxxll, Dated 25.8.1977
Ref 3: शा.िन.सा.प.िव.क.डीएमसी.1087/9698/ 608 ­ 32. Dated 2.1.1989

Serial No : 41253403610
District : Jalna

Certificate of Age, Nationality and Domicile

(Issued by Authorities in the State of Maharashtra)

On submission of the proofs noted below, it is hereby certified that, Kumar Gadhe Arjun Vishnu R/O ­
, Village Pralhadpur, Tehsil Bhokardan, District Jalna was born on 03/12/2004 (Third of December in the
year Two Thousand and Four) at Pralhadpur, Tehsil Bhokardan, District Jalna in the State of
'MAHARASHTRA' within the territory of INDIA and he is a CITIZEN OF INDIA and has domiciled in the State of
Maharashtra.

PARTICULARS OF PROOFS SUBMITTED

1 . UID
2 . School Leaving Certificate
3 . mark
4 . Application Form

Digitally Signed by
PUPALWAD BALAJI BHIMRAO
Date:9/25/2023 2:46:14 PM

Place : Bhokardan Tahsildar / Taluka Magistrate

Date : 25/09/2023 Bhokardan

Printed By ­OMTID : VLE Name :MAROTI KASHINATH SHINDE, Date:25/09/2023 1:05PM

This is a digitally signed document, hence is legally valid as per the Information Technology (IT) Act, 2000.
To verify visit https://www.mahaonline.gov.in/Verify OR SMS “MH<space>CSC<space>VRFY<20 digit Barcode number>” to 166 from a BSNL, MTNL, Tata Mobile and
51969 from others.