12532111195 0037 03987
Tahsil Office, Haveli
Dated 17.5.1951
Ref 1: G.R.P.& 8.D. No.1586/34-D,
Mis.31/76-Desk-oodl, Dated
25.8.1077
Ref 2: G.R.GAD No.
B0R 32, Datod 2,1,1989
Pef 3 r a n
r m yann,1087/9A9/
Serial No: 41936668478
District Pune
Domicile
Certificate of Age, Nationality and
(lssued by Authorities in the State of Maharashtra)
Sunil Sanas
certifled that, Kumar Shubham
On submisslon of the proofs noted below, it is hereby District Pune was born on
19/06/1998
Uruli Kanchan, Village Uruli Kanchan,
Tehsil Havell,
R/O Pune (Municipal
NineHundred and Ninety Eight)at
(Nineteenth of June in the year One Thousand MAHARASHTRA' within the territory of
INDIA
Pune in the State of
Corporation.), Tehsl Pune City, District uf Maiiaiasliia.
in the Slaie
and ie is a CiTIZEN OF INDIA arid has doniciled
PARTICULARS OF PROOFS SUBMITTED
1. Self deciration 19/11/2021
2. School Leaving Certificate reg no 269
3. school leaving certificate father reg no 2172
4. UID adhaarno 237222738669
5. Ration Card no 142379
6. ratlon card side2
grahak no 170270045450
7. Electricity Bill
8. mseb statment
Signature valid
Digitnlly Signed By VIJAYKoR
BHAUSAHEB CHOBE TAHSILDAR
HAVELI (PUNE)
Date: 26-Nov-20212:20 19T
Tahsildar
Place Haveli
Date 26/11/2021
Havell
Printed By-OMTID MH032200701 VLE Name:Ujwala Babasaheb Sawant, Date:26/11/2021 11:52PM
hence is legally valid ns per the Informatlon Technology (T) Act, 2000,
This Is a diglitally signed documeni,
To verity vlait httpa://www.mahaonlino.gov.in/Verify OR SMG "MH<opace>CGC«opaco»VRFY<20 dlglt Baroodo numbør>" to 166 fom n BSNL, MTNL, Tata Moblle and
51969 from othore,