You are on page 1of 2

ti

I
t-

tr

F
fr
E"

?
ts
F
ts

arq
,*tG.-
!ND
L 421 8796
I CHOLETHADAT}IIL
i{i nil/G:sldn€(s)
ASHOKAT{

s&r*il
@ *tq/Ptaqa ol iirth
Pt.it.; 1F!,i;iAnF, riiR,1
qrQ t 6w/Pled
t- -l rrLAppuRtit
qro / Oate ot
1 81 1 0/401 3 1 ! ?o?3
L J
P<i NDKONATHUKUZ H1 <CHOLETHADATH I L<<ASHOKAN<<<
L42187 96<A I N D 720 5 t 03 M2 51 0'.I 74<<<<<<<<<<<<<<<6
NOIIVAHSSSO/ llshrel

3ChUrS SnOSNV'r'rrCSMt /r!e 13gg

frar / tqt tr arrrrn.l ff / L..ll ffit


VELAYUDHAN KOI{ATHUKUIHI CI{OLITHADAIHIL

YESODHA KO'{ATHUKUZHI C}!OI-ETI{AOATI{IL

SAREEIIA
iftr/Addre3e
K0iIATHUKUZHI HOUST"pO ptlLLIFpARAilFt

cHEL EHBRA, trlA LAPPURAI!

P lN : 673 63 4, KERA LA, I l{D IA


5rrtffi-; {:nffi-id - ma ta ffi / old Pasaport No. Date and Plae ol l$ue
E5846151 o8/08/2003 KOZ H I KODE
srtd =i./ Fib l{o.
?cL1077264450513

f,-'--

You might also like