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02- Application Form- SENP- Non-Ind. (HL)





                                         DineshMotta


                                     On behalf of Motta   AMotta
                                     Engineering

                     MOTTA ENGINEERING       ARVIND MOTTA
                     NA                      PRATIK
                     NA
                                             MINAKSHI
                     NA                      DIRECTOR
                     20 / 08 / 2010          13 / 05 / 1976
                     NA                      9992 2111 9021
                     NA                      ACPPM9972Y
                     NA                      H1212345
                     NA                      VOTER ID :12345678912
                     022-25974298            022-25974298
                     NA                      9874236411
                     NA                      ARVIND.M@YMAIL.COM
                     50-AF NEW UMPIRE, NEAR J.B NAGAR,  204-A QUEENS CROWN, NEAR J.B NAGAR,
                     ANDHERI W               ANDHERI W

                        MUMBAI     400706      MUMBAI      400706
                        MAHARASHTRA  INDIA     MAHARASHTRA  INDIA

                          Same As Above           Same As Above





                                    NA

                      NA     NA     NA       2       1      Wife
                        NA                     Hindu





                      NA                              B.E

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