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Office of Tehsildar
Ref 1: G.R.P.& S.D. No.1586/34-D, Dated 17.5.'1951
Ref 2; G.R.GAO No. Mis.31f6-Desk-mdl, Dated 25'8-19n
Ref 3: strfr.{q-EEdiEd:s.1087/9698/ 608 - 32. Dated 2.1.1989

Serial No 4m8i1246827
Distict Nanded

Gertificate of Age and Domicile

(lssued by Authotitles in the State of ttaharashtra)

onsubmissionoftheproofsnotedbelow,itisherebycertifiedthat,KumarParlhNarayanJagtapFyo
Koli, Mllage Koli, Tehsil Hadgaon, District Nanded was bom on 19/0912009 (Nineteenth of september in
tn" y""ri*o ihousand a-nd Hinel at Koli, Tehsil Hadgaon, District Nanded in the State of
'UetimlSXfRA' within the teritory of INDA and he has domiciled in the State of Maharashtra'

PARTICULARS OF PROOFS SUBMITTED

1 Ration Card
2 Ration Card
3 Extract from primary school entry
4 UID
5 Residence Certificate from Sarpanch ofthe Grampanchayat
Residence certificate from Police Palil
7 Ghosna patrak

Signature valid
Disitally Sfld by

Blf;IffiI.,',u,,u
',
Place : Hadgaon Tahsildar I Taluka MagistEte
Date : 13lOnO23 Hadgaon

Printed -OMTI D VLE Name DAYANAN D SAKHARAM LOMATE, Date 1 3t1 212023 2: 1 8 PM

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