PERSONAL PROFILE:

Father’s Name

Date of Birth

‘Gender

Marital status

Religion

Nationality

Language Known

Mobile No.

Address

Tamil, English

852-***-****

#*/**,**** **** ******

Pangal,

Thirukkuvalai — Tk.,

Nagapattinam — Dt.,

Pin code — 610201.

DECLARATION

I hereby endorse that the particulars furnished are true to the

best of my knowledge.

Date :24/01/2023

Place:pangal

Yours Faithfully

(B.RETHINAVEL}