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father’s Name
Date of Birth
Age
Sex
J Religion
Martial Status
Permanent Address
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PERSONAL INFORMATION
> M.RATHINA KUMAR
> R. Mariappan
> 25.01.1994
: 26 yrs
: Male
: Hindu
- Unmarried
:324C/7,Punjoli Street, Subramaniyapuram
Ambasamudram-62740
Tirunelveli DT
DECLARATION
ove furnished details are correct to my knowledge and
Signature
(M. RATHINA KUMAR)