HomeMy WebLinkAboutCERNE_KATA_5030287A.R.R.C.No.3218238 No.5030287
Narne __~~fl~_.__~~J!~_
residing aL __ti_~~~~~~_l __~_~~~~~,Q9_~~~_g-,__~-~~_--------
Age __~?years.Date of order of adrnission_c!~~~IT __~9..-t._J.~1?
Date certificate issued __~~~~~.x __~J __J.~~~,by the
Q~Q~__:P~~~_f!Court aL W~~h!~j;_Q!1_.LR~_L _
Petition No.,'1~12-Z~k __~~_
(Complete and true signature of holder)