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Athlete First Name

POONAM

Athlete Surname

POONAM

Father First Name

DALIP

Father Surname

DALIP

Mother's First Name

KANTA

Athlete Photo

Date of Birth

15 years old

E-mail Address

DALIPAJANGRA@GMAIL.COM

Gender

Female

Phone Number

9414636137

Blood Group

(O+)

District

HANUMANGARH

State/Department:

RAJASTHAN

Medical Age certificate

IMG20230926_18303894.jpg

Aadhar Card Number

661872288842

* Residential Address of the Applicant (should be same as in Aadhar card)

Address line 1

WARD NO 06

Address line 2

JOGIASAN MOHALLA, NOHAR, TEHSIL - NOHAR, DIST - HANUMANGARH

City

NOHAR

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