-------------------------------------------------------------------------------------------------------------------------

PHOTOGRAPHS AND FINGER PRINTS AS PER SECTION 32-A OF REGISTRATION ACT, 1908.
Finger print Passport size Name & Permanent Postal
In black ink Photograph Address of Presentant/
(Left Thumb) Seller/Buyer.
---------------------------------------------------------------------------------------------------------------
cÂñ¤öc»jÝö
1. c»·`¼¶O¼¶[Ä
¯ñ¤kÀn» WÉ[Äã
S/o OÇ.lÌ c»·`¼¶O¼¶[Ä

TÊbÀêWÉ[Äã,
1-84,
ÞÑbÉêh¾¸g¼¸ïbÝ
b¼Q¼WÜ,
g¼¸`ÃèjÍ[¼¶ ÞÔn»¶} &
QÀñg¼¸²,
¯ñOÀp¼o»ÁnÂæ
g¼¸²[¼j²,
¢W¼¶c»¢ ŸjÁò.
h¾¸nÛ.c»p¼]Ä @
2.
cÂ.h¾¸nÛ.c»p¼]Ä WÉ[Äã
S/o c»·`¼¶O¼¶[Ä

¯ñ¤kÀn» WÉ[Äã,
1-85,
ÞÑbÉêh¾¸g¼¸ïbÝ
b¼Q¼WÜ,
g¼¸`ÃèjÍ[¼¶ ÞÔn»¶} &
QÀñg¼¸²,
¯ñOÀp¼o»ÁnÂæ
g¼¸²[¼j²,
¢W¼¶c»¢ ŸjÁò.

3.
cÂ.h¾¸nÛ.cÈW¼¶g¼¸Áp
Ý WÉ[Äã
S/o c»·`¼¶O¼¶[Ä

¯ñ¤kÀn» WÉ[Äã,
 bɲ.1, ¦ño»Á
QÀWÉãbÝö, kÌ`¼²
WÕ[¼¶ã,
¯ñOÀp¼o»ÁnÂæ
ÞÔn»¶} & YÚbÝ,
¯ñOÀp¼o»ÁnÂæ
g¼¸²[¼j²,
¢W¼¶c»¢ ŸjÁò.
Signature of Witnesses : Signature of the Executant/s:
1.

2.

-------------------------------------------------------------------------------------------------------------------------
PHOTOGRAPHS AND FINGER PRINTS AS PER SECTION 32-A OF REGISTRATION ACT, 1908.
Finger print Passport size Name & Permanent Postal
In black ink Photograph Address of Presentant/
(Left Thumb) Seller/Buyer.
---------------------------------------------------------------------------------------------------------------

4.
cÂ.h¾¸nÛ.AW¼¶]ÁT¾j
WÉ[Äã
S/o c»·`¼¶O¼¶[Ä

¯ñ¤kÀn» WÉ[Äã,
1-87,
ÞÑbÉêh¾¸g¼¸ïbÝ
b¼Q¼WÜ,
g¼¸`ÃèjÍ[¼¶ ÞÔn»¶}
& QÀñg¼¸²,
¯ñOÀp¼o»ÁnÂæ
g¼¸²[¼j²,
¢W¼¶c»¢ ŸjÁò.

5. cÂ.g¼¸]Ä g̸Q¼jÐ @

cÂ.cÂ.g¼¸]Äg̸Q¼jÐ
 W/oh¾¸nÛ.c»p¼]Ä @
cÂ.h¾¸nÛ.c»p¼]Ä WÉ[Äã,
1-85,
ÞÑbÉêh¾¸g¼¸ïbÝ b¼Q¼WÜ,
g¼¸`ÃèjÍ[¼¶ ÞÔn»¶} &
QÀñg¼¸²,
¯ñOÀp¼o»ÁnÂæ
g¼¸²[¼j²,
¢W¼¶c»¢ ŸjÁò.

Ÿ.cÂ.I.JVʲY¶

h¾¸nÛ.OÉ.n»¶eñg¼¸]ð²
S/o
h¾¸nÛ.OÄñm»åg¼¸¹WÃæ, Þ¿òY¶ bɲ.2/¦,
h¾¸jÝ.h¾¸nÛ.b¼Q¼WÜ
IOÜöYÊb¼õbÝ,
h¾¸².BWÜ.c»ªò
JWÃh¾¸Á,
¢W¼¶c»¢-517502,
¢W¼¶c»¢ AW¼íbÝ
g¼¸²[¼j²,
¢W¼¶c»¢ ŸjÁò.
Signature of Witnesses : Signature of the Executant/s:
1.

2.