Lic Fi Format

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Yl-r X$idcncoYcrlfi erlion Retort AFlt.ation lirDbcn Yes n N o l Mobil.tr r Time ofvisit 1 h {ollasi.a informnailr:r s to be obts:ned rom lp}llc,rrt or &r}trdy r€€tdnf rt the Rebli.n \tilh arDlicaot No. of vears a curcnt qiderce 2 $heeler U Oimcd (::i : I.ii-ced n orhers tr {l$. provided f] Ifalailed Iiinanr. Please pecit o/.]-itrni EMI: oNred by rel ives n Rc.tcd Tl Parnrg s1 - 0\r.d by Pr*n1s - 0q .d bJ, d.n& n tolrpanyAc.onio{tation f] Lodgjrg n No.offamilyntembqs wo*irg Depeldenrs ddq F cl'lldle'fl Is polrle wo*ing? Yestr No I If y63 nploynllt D€iails: I HI, NOLLOWING ARE AASE[} O\ VERJFIERS ll|i co.or.rriive wa s Nelql'bourbood hpcl. iude J Polite D +v. U 've U Che.ted witn

Transcript of Lic Fi Format

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Yl-rX$idcncoYcrlfi erlionRetort

AFlt.ation lirDbcn

Yesn N o lMobil.tr rTimeofvisit

1 h {ollasi.a informnailr:rs to be obts:nedrom lp}llc,rrt or &r}trdy r€€tdnf rt the

Rebli.n \tilh arDlicaotNo. of vearsa curcnt qiderce

2 $heeler U Oimcd(::i : I.ii-ced norhers tr {l$. provided f]Ifalailed Iiinanr.Please pecit

o/.]-itrni EMI:

oNred by rel ives nRc.tcd TlParnrg s1 -0\r.d by Pr*n1s -0q .d bJ, d.n& ntolrpanyAc.onio{tation f]Lodgjrg n

No. offamily ntembqswo*irgDepeldenrsddq F

cl'lldle'fl

Is polrlewo*ing?Yestr No IIf y63nploynllt D€iails:

I H I , NOLLOWING ARE AASE[ } O\ VERJFIERS

ll|i co.or.rriive was Nelql'bourbood hpcl.iude J Pol i te D +v. U 've U

Che.tedwitn

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tiiT,Tl|:l#;::l*"'ocke th€ orrowingrto''rti"'ts 10 cof,tsined

RlrcoiuMEN)nDNOTRECOMMONDED

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{jodncnrf & Roufe Map olerle{f

Agenc}rMin€€r's Sigaature

Ifv.rired byLIC Htrrofncials Ofticlal,rSig@rlre& Deltgrr{or

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vq.-2

^ppll.rtion Nll:nboa:

TEL&VERIf iCAf IONREPONTRESIDENCEOfF'CE TELiP ON'

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wlelt€r C .rado i;;GAi)plicarls' loan qus|nnt E

verili.r,sNi'ne& Sigrarure

ao|'m.nar

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Aecnq Ssl AgoncyMN .gcr.s Stgnarun

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IMPLOYME]NTYEnINCA,TORrP.ORTv.R-3A

lrF,CO]'IM'NI'ED

rrerilier'sNrnc & Signefurc Ag€n? Se.l AgorcyMrnrger, Slgnal|iraCom]|lerb& Maporertft|J

Itvcrifird by LIC HFLOfiicia

Oficial,r Sig:rtt.re & DesiSDLion

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vR.3A

BUSI]\'ESSIRIFICATTONREPOR,T

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Pukk---l'

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