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Court

The document is an Address/Court Record Form for candidate Shaik Jakeer Hussian, born on June 20, 1993, with father's name Hafeez Shaik and nationality Indian. It requests detailed address information for the last seven years, including permanent and current addresses, along with the start and end dates of residence. The form is incomplete as it lacks specific address entries and dates for previous addresses.

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saddamshaikframe
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47 views2 pages

Court

The document is an Address/Court Record Form for candidate Shaik Jakeer Hussian, born on June 20, 1993, with father's name Hafeez Shaik and nationality Indian. It requests detailed address information for the last seven years, including permanent and current addresses, along with the start and end dates of residence. The form is incomplete as it lacks specific address entries and dates for previous addresses.

Uploaded by

saddamshaikframe
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Address/Court Record Form

Candidate Details

Full name of the candidate (In Capital letters only) Shaik Jakeer Hussian
Date of birth of the candidate (DD/MM/YYYY format) 6/20/1993
Father's Name (In Capital letters only)
HAFEEZ SHAIK
Nationality (In Capital letters only) Indian

Address details:(Please provide address for last 7 years with period of stay as applicable)

Start Date
(MM/YYYY)
Permanent Address
1 (Complete address
Prakasm End Date
with Pin Code in
(MM/YYYY)
Capital letters only)

Start Date
Door No: 22-8-30/3 (MM/YYYY)

Current Address Islampet ,Beside Prakasam Distric,523155


2 (Complete address
with Pin Code in End Date
Prakasm (MM/YYYY)
Capital letters
only) 24559 523155
Start Date
(MM/YYYY)
Immediate Previous
address - I
3
(Complete address
End Date
with Pin Code in
(MM/YYYY)
Capital letters only)
Start Date
(MM/YYYY)

Immediate Previous
address - II
4
(Complete address
with Pin Code in
End Date
Capital letters only)
(MM/YYYY)

Start Date
(MM/YYYY)

Immediate Previous
address - III
5
(Complete address
with Pin Code in End Date
Capital letters only) (MM/YYYY)

Start Date
(MM/YYYY)

Immediate Previous
address - IV
6
(Complete address
with Pin Code in
End Date
Capital letters only)
(MM/YYYY)

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