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RAM UJAGIR
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14/'10/1979 ~ I Sig.nature
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NAME
: KA01 20230000106
: ASHISH KUMAR
DOI : 02/02/2023 1FORM-7
[See Rule 16(2)]
D.O.B : 14/10/1979 ~· ~; B.G. : ·B+
VALID TILL : 01/02/2033(NT) t
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02/02/2023
02/02/2023
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S/o : RAM UJAGIR
ADDRESS: Flat No 13304, 30th floor, Tower 13 Prestige
Lakeside Habitat, Varthur Rpad,Gunjur Cr
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Halasahalli Bangalore Rural Karnataka560087
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Sign. Of Holder Sign. Licencing Authority
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