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Character Application

The document is an application form for character and antecedents verification for an individual named Mukta Kailas Ghuge, residing in Navi Mumbai. It includes personal details, addresses, and declarations regarding criminal history and political involvement. The applicant confirms the accuracy of the information provided and submits it for verification purposes.

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mukta ghuge
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941 views1 page

Character Application

The document is an application form for character and antecedents verification for an individual named Mukta Kailas Ghuge, residing in Navi Mumbai. It includes personal details, addresses, and declarations regarding criminal history and political involvement. The applicant confirms the accuracy of the information provided and submits it for verification purposes.

Uploaded by

mukta ghuge
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Navi Mumbai

Application cum Personal Particulars Form for Character & Antecedents Verification

पतत : वतरषष पपललस तनरलकक , Kamothe P. Station पपललस षठणण.

खठललल नममद ममददठदवर अररदठर घमगण

Navi Mumbaiकदपनलचण Navi Mumbaiनठव Jai Enterprises Facility And Hospitality services यठदचल चचकशल करन

ममळ कठगदपतठदसह अहवठल पडतठळणल शठखठ, तव. शठखठ,Navi Mumbai यणथण सठदर करठवठ.

१) अररदठर तदलणलयठ पततयठवर कणवहठपठसमन रठहत आहण ?

२) अररदठरठतवरद आपलण पपतलस षठणयठचण अतभलणखठवर गमनहण , आकणपठहर ननदल आहण त कठ?

असलयठस गमनहठ ननद क., कलम,कपरर ,कपरर कणस क. व गमननठचल सदससथतल कळवठवल.

रठवक क. /तवशठ/पडतठळणल/तद. / /२० पपउप आयमकत, तव.शठ.Navi Mumbai कतरतठ

Applicant's Name MUKTA KAILAS GHUGE MUKTA KAILAS Application ID NAMU10231003703

ID Name PAN Card ID No AWSPP1388C

Aadhar Card No. Mobile No. 8108933088

Email ID

Present Residential Address


Swastik plaza Kamothe gaon road Near Swami Krupa hospitalKamothe Kamothe Panvel Raigarh
MAHARASHTRA-410209
Previous Address

Do you need to verify your previous address


Address

Native/ Permanent Address

Swastik plaza Kamothe gaon road Near Swami Krupa hospital Kamothe Kamothe Panvel Raigarh MAHARASHTRA
410209
Company Name and Address where NOC/ Certificate is submitted

Designation Housekeeping Company Jai Enterprises Facility And Hospitality services

Address T/48 Pratiksha Nagar Pratiksha Nagar bus depo Sion Mumbai Suburban MAHARASHTRA 400022

Particulars of places where the Applicant has resides during last 10 years
Sr. No Address From To Pincode

1 B /603 Swastik plaza CHS plot no 12 and 15 sector 11 Kamothe Navi 10/2014 10/2023 410209
Mumbai
Present Occupation / Service ( Joining date, Post, Office Address & Telephone)
27/10/2023

Visible Identification Mark

Have you been Arrested / Prosecuted? If yes, give case details ( C.R. No. & P.Stn )
No

Have you been Active in Politics? If yes, give details of the party / organisation.
No

Is there any Criminal Offence registered against you?


No
Name, Address & Signature of two persons in your locality who knows you.
Name & Address Mobile No.
Sanjeevani totre A 205 Swastik plaza plot no 12 and 15 sector 11 Kamothe Navi 9769784907
Pratibha dhole Moreshwar heights kamothe Navi Mumbai 9082219070

I hereby solemnly state that information provided above by me is true and correct.

Place Kamothe Navi Mumbai


Date 28/10/2023 Applicant's Signature

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