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Permanent Address: KARIM NAGAR ALIAS CHICHARWALA PATIALA

Occupation: Construction Labour,

Family Details:
Name Age Relation Nominee
Name: Baljeet Kaur
GURPREET SINGH 37 7020 Yes

RAJVEER SINGH 10 7017 No


S/o,D/o,W/o: W/O: Gurpreet Singh
VEERPAL KAUR 12 7018 No

DARSHAN KAUR 61 7014 No


DOB: 1988-1-1

Registration Date: 2023-10-31

Valid Till: 2024-10-25

PB67-W-2311339404

Signature of Worker Signature of Authority Signature of Authority

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