‫ښٳ‬ἓṀ‫ڀٱڤژ‬

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7^KUh^ȵk5Wh\ Rahul Sashi Tiwari

d^WhȺk5 190 sai nagar navagam dindoli

road udhna Surat

Sh^ŽE 13/04/2024
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‫ښڤڑڏڛژڤژ‬ṝ‫ڦ‬
‫گڀڧڛڤڏ‬ Udhana
‫ڇڥ‬ḕ‫گڛ‬ Surat

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y7^KUh^ȵk5Wh\ ȶl^°ȶlĮ7NDdhTp  Mr. Rahul Sashi Tiwari

^^e°OhRȵk5ȶkĮd^WhȺk5 Fh\bp^ŽShɀkDh 190 sai nagar navagam dindoli road udhna Surat
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Courtesy :: National Informatics Centre, Gujarat

 Name Relation Age Business Yearlly income

Tiwari Sashi Bhushan Father 45 Taxic driver Į

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yzD]he°ȱkd^̆\hRX́WjKĮ^Jp For education

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 ‫ڀٻڎڔٵگڀ گڝڤښڧڔگړڎڤڋڬڡښ‬  ‫ڀٻڎڔٵگڀ گڝڤښڧڔگړڎڤځڜپ‬

‫ڦڂړڤڝښڔڦړڤڝڝڤڛڅڦڌڤڂ‬ ‫ڦڂړڤڝښڔڦړڤڝڝڤڛڅڦڌڤڂ‬

 ‫ڀٻڎڔٵگڀ ڤڝڤښڧڔڤڏڂڛڬړڤڝڬڠ‬

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‡ _h9NZj_WjE^ŽWD_

‡ Declaration before Talati (Service Related)

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Sh^ŽE 13/04/2024

ƨT` Surat

Signature
(Rahul Sashi Tiwari )

Courtesy :: National Informatics Centre, Gujarat