BIO DATA
POST: TR WIPER
NAME: AZUHAR SAFARUGOTHI DEKUNUFARATHUGE
PLACE OF BIRTH: PALLISSERY, LAKSHADWEEP
NATIONALITY: INDIAN
CONTACT NO: 854-***-****,048********
EMAIL ID: *******@*****.***
PERMANENT ADDRESS PRESENT ADDRESS
E-1-174, SAFARUGOTHI,PALLISSERY, VILLAGE,MINICOY ISLAND,LAKSHDWEEP, PIN-682559
KAUNIMANGE BIDDARUGE PALLISSERY VILLAGE
MINICOY LAKSHADWEEP PIN-682559
DOCUMENT DOCUMENT NO DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE PASSPORT M9259788 26/05/2015 25/05/2025 COCHIN
INDIAN CDC MUM274086 27/04/2017 26/04/2027 MUMBAI
INDOS NO 17GL0417 23/01/2017 UNLIMITED MUMBAI
YELLOW FEVER
COURSE No DATE OF ISSUE DATE OF
EXPIRY
PLACE OF
ISSUE
E.F.A EFA/PSGP/EMA/002074 06/02/2017 UNLIMITED COCHIN P. S. S.R PSSR/PSGP/EMA/002074 30/01/2017 UNLIMITED COCHIN P. S. T PST/PSGP/EMA/002074 02/02/2017 UNLIMITED COCHIN F. P. F. F FPFF/PSGP/EMA/002074 09/02/2017 UNLIMITED COCHIN STSDSD STS/PSGP/EMA/002074 15/02/2017 UNLIMITED COCHIN AUGFF AFPFF/EMA/100-
17/001466
07/08/2017 UNLIMITED COCHIN
OCC OCC/EMA/40-17/000836 31/07/2017 UNLIMITED COCHIN OIL. D.C
PLACE: MUMBAI
DATE: SIGNATURE