Unique Identifkation Authority of India,Government of India /

C"6~l)~~1I>..0~S-';'S"6lSo~,C"6el!illel:ifu>

6~1:I>/j)il"llS"b

Acknowledgement/Resident Copy /

. ;;:~i~~'t':' --I:'~=::~~j . . . . . . . . . . . . . . . . . . . . . . ,.. . . ..

"""t No/1i:.s-1:I> ~o,,': l06?/42040/00129Datej,te.: .18j03p2013i6~O:04,

NPR'R~~;'N'~;'N~~Giveu ..

"~"":'I

1 8-24/1,

j $J~(i ..~s5,

"'";

1",6 ~Ilii.
,=
~

I1

;:;"'';>::160.
;:;"'';>::>60. ;;~~05> 1i'lJ'::i6, eo~l!.r- 534145 .

fHU'"~U~'yyy '~~"~".n"'"

i
" . " , H '" "\""....

~AM'"~"v a '. ~ ...... ~~~. n

'~~<',,"H n'V'" ~~~"., ~""H ~.. ' " """." H""~' ,"..... 0 ~~~ '~~

r f!iTth/;;.,~;S~e.: 15/06/1986(VERIFIEDJ

. j

~ ~ ~V~H '" M,>"""'~" ... ~~ H~"""'" u~ ,-., ... , , ~A"'~' ~"" ;:~~ ~~~"""" u ... ~~ , v.... ,," H" ~~~ , ~ ..."":

'H ... H

Mobile/~it(i:S886766643;"'

.:
.

! Email/ ~~Q})(i: Not Given

c:SSLCBookjCertificate

".''".''H~''',.~~H ~ ..... ~~,~

Fingerprint quality

".' ;~;V~t;tiD:G;;rtPh;t~id;;;titYE;;;djs~'i:ri~p~~t~id;;~titY~.;d'i~;ti;;dbyPSlr....'....''"....'......'....:

.'~V./.~.; .;~~./v.:.'. !

.;-

'.

)~

'.'-'.

~f

, lils;"Alian:rja'!i=aaes1i7sbiTecrrllZOO$8O'131'7'4........... ..........................................................................................;.;: ::::Quality Imge:::~,

; '. ,i ,"":~, l' ," L.,

,'_

._ _

"

8on~en1f'~~~O'::;iQ~~t)~';;~~&:ye;i'""'' ...."....."..."'..

~~ ~~~~~:~~1dl au~~~,~~~~~.~H'~

'< ....;.....".....'.....'.....:."'..<.....'.....<..,.....~ .. <!~:;:a~~J: ~::~::~:;!~

'U~;;;'B;Jk. ......;.."" ......"'.."'";....''....ii:~~~i;;;;;;tAg~~;;y;FiNANciiu:INFORMATIONNETwORK; ....'......L~~~ti,;;~'ld;N~tGi;~;;'1

,i" CHl}1 of dem!'<lffiphic inform...tiori must be made within 96 hou.rs ofenrolment
.1

~':.

"ct

only OD.elfdJlaal' numbe..~Please do not enrol again unless asked to.

.'

Soudaral;u Suman{Signature)
.
Enroi111 ent Operator

'.

.... , ...., ......;..\...,...... , ............, ............... ", ..... ,....., ...." ...., .........., ................... , ........................................,................................................ , ........... , ............. , .................. .....4

_ .'. " ~~6o.::Q4

1t~i~s~I,~J/, b

l).ttp; I IW!RWcllldai.gov.in

1800 180 1947

"

P.O. Box 111947. Bangalor..:-SGOOOI

--