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Details to be Printed on First Page

Surname
Given
Name

NARAYANA

Sex

MALE

Date of
Birth

15/05/1961

Place of
Birth

MUGALUR,
KARNATAKA

Details to be Printed on Last Page

Name of
Father/Legal
Gaurdian

BATAIAH THIMMAIAH

Name of Mother

NINGAMMA

Name of Spouse

YASHODA

Address

NO.39 1ST CROSS


NAVADEEP SCHOOL
DEVASANDRA
K R PURAM, BANGALORE,
BANGALORE
PIN: 560036, KARNATAKA,
INDIA

Old Passport No.


with Date and
Place of Issue

G1525909
31/01/2007
BANGALORE

Emigration
Check
Required

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