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ROLL NUMBER
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NAME
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DATE OF BIRTH
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ADDRESS
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MOBILE NO
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EMAIL ID
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AADHAR NUMBER
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GENDER
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AGE ACTUALLY COMPLETED IN YEARS
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NOMINEE NAME
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NOMINEE GENDER
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NOMINEE RELATIONSHIP
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I hereby declare that, the information submitted above is true and correct. If any information submitted by me found wrong / false, I have no objection to initiate action against me under Sec. 35 of the Advocates Act, 1961.
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