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Name.

Father's Name.

Mother's Name.

Date of birth.

Address.

Qualification.

Addl. Qualification.

: Sujee. S

: Murugesan. A

: Prema. M

: **/**/****

: **-*, ***********

North Street,

Kumbakonam -

612001.

42

: Type Write Higher

(English, Tamil)

Computer(Dtp)