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Address for Communication

Contact No

Mr. K. Abdul Vaduthu

01.03.1999

Vera

Tamil, English, Ud

Indian

Mustim

Married

*/***, **** *****

Molakullkui Pancha

Nagamalai Pudukott

Madurai ~625 019

637-***-****

DECLARATION

Thereby dectare that all the details furnished above are true and correct tothe best of my

knowledge.

Place: Madurai

Date

Signature

(A, NASIKA BANU)

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