HTRG YURTREPUBLIC OF INDIA
t8 Coda reu/Ntionalitly
P IND reftu/ INDIAN
Z8269482
gUM/ Sumame
KOLI
f n / Gven Namets)
sUMIT UTTAM,
fef /Dae of Birth
08/12/2005 M
/ Placeof Birth
1CHALKARANJI,MAHARASHTRA
or ael er /Place of tssue
PUNE
r 1 Rtèa / Date of issue eft fer / Date of Expiry
L 24/03/2025 23/03/2035
P<INDKOLI<<SUMIT<UTTAM <<««
Z8269482 <6IND0512088M3503236MO60812660625<82
62
Z8269482
fke/i fss E H/ Name of Father / Legal Guardian
UTTAN SAKHARAM KOLI
HGI 51R/ Narme of Mother
SANGI TA UTTAM KOLI
qfa A/Narne of Spouse
gt/ Address
KOLI GALLI
SAJANI,KOLHAPUR
PIN:416116,MAHARASHTRA,INDIA
qrt qrrué a SAÈ IÔ à afa g RA /Old Passport No. with Date and Place of lssue
sR /Fle Na
PNMO60812660625