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HTRT TuRT REPUBLIC OF INDIA
eru/Type reE s / CountryCode Trte/ Passport No.
P IND
gyH/Surname z4005778
JADEJA
feT rTIH/Given Name(s)
PRADIPSINH BHARATSINH
ree/ Nationality foiT /Sex ate of Birth
HTRGT/INDIAN M 30/051985
y er/Place of Birth
JAMNAGAR, GUJARAT
GT 1FH/ Place of lssue
AHMEDABAD
GTr ferf / Date of lssue bate of Expiry
17/02 /2017 16/02/2027
P<INDJADEJA<<PRADIPSINH<BHARATS INH<<<«««<<««
Z 4005778<2I ND8505305M2702168<<<<< <<<<<4
1:
NOLIVAHESEEinha
fem /t
BHARATSINH JILUBHA
arf IName of Father /Legal
JADEJA
Guardian
Z4005778
HreT T HH /Nameof Mother
PREMKUNVARBA BHARATSINH JADEJA
f Iqei IIH/ Name of Spouse
DARSHANABA PRADIPSINH JADEJA
ye/Address
BLOCK NO.A-35
GANDHINAGAR,JAMNAGAR
PIN:361002,GUJARAT,INDIA
SIETé w1i.segeès
yET gàn frfe q FrT / Old
sreê Passport No. with Date and Place of lssue
G6300673 24/12/2007 AHMEDABAD
rS /File N.
AH4070730108617