Reference No 000*******

KONICA COLOUR LAB ll ll \

PS1301405

Photo Studio Registration No

A. JEYAKUMAR

Name With initials

Soar cen se / wr aU Cour

Printed Date

Se feo / otis Ssh

Printed Time

Be emo / AL Onmnb

Photo

Valid tin 2023/10/19

mes 9OE-q Os Fao /

(mein ib

Creed A DxG ag

Note

This photo is

valid only for 90 day

ys 1 ares Og@ Ocked Em 90d OOM / Bhs yori 0 a sente, Gb Cxdguqumeid