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Af) 1. Name of Applicant (As appearing in supporting identi cation document) Name Father's / Spouse's Name PHOTOGRAPH 2a. Gender Please tick ( ) 2c. Date of Birth D D Male / M M 3. Nationality Please tick ( ) 4. Status Please tick ( ) Female 2b. Marital Status Please tick ( ) / Y Y Indian Y Please affix Married a recent passport Y size photograph and Please specify Others Resident Individual Single Non Resident sign across it Foreign National (Passport copy mandatory f.

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