SubmissionGUID: c783accf­1805­488c­a923­f3a234014e55

Date: 2023­11­16 02:15 PM

Appointment Date: Nov 20 2023, 09:AM

Certificate of Character Request ­ Cunupia

First Name Last Name Date Of Birth Gender Phone

Devanan Rajpatee 1960/6/09 Male (868) 7580332

Address: Email Address National ID Number Purpose For Which

Required

LP 1 East Boundary Street, , California, , TT davanandraj1960@gmail.com 298406 ­ Drivers Permit Work Related

Racial Origin Complexion Colour Of Hair Colour Of Eyes

East Indian Brown Black Brown

This Space for Identification Branch use

Classification Formula Classified By Searched By Date

Information Checked By Date Certificate Issued Certificate No(S) Results

Signature Of Applicant Signature Of Officer Taking Prints PRINT CERTIFIED CORRECT 1 Signature

PRINT CERTIFIED CORRECT 2 S.D.O I/C STATION Assistant Supt., C.R.O

Fingerprints

1. R. Thumb 2. R. Index 3. . R. Middle 4. R. Ring 5. R. Little

6. L. Thumb 7. L. Index 8. L Middle 9. L. Ring 10. L. Little

LEFT LEFT RIGHT RIGHT

Four Fingers Taken Together Thumb Thumb Four Fingers Taken Together