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CHERPAK_MIHAL_4634805
No.4634805 Narne __9_~~~~~.__~~~~_ residing aL __~~_~.~~;L_~§l:.f!.l __~~_e_,__~~_~~9YV),~J!~1!I_.f ~_~_ Age_9~years.Date of order of adrnission_~e-Dt.e.m~e~.2_6"*.l9.39 Fetition No._~~le . _ 011 '(tL t:Ii ,L______L~~----------~~~------------(Complete and true Signaturjof holder)