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Athlete First Name

Nikhil

Athlete Middle Name

Nagappa

Athlete Surname

Koli

Father First Name

Nagappa

Father Middle Name

Bhimanna

Father Surname

Koli

Mother's First Name

Surekha

Mother Middle Name

Nagappa

Mother Surname

Koli

Athlete Photo

Date of Birth

17 years old

E-mail Address

nikhil7420082644@gmail.com

Gender

Male

Phone Number

7420082644

Blood Group

(B+)

District

Sangli

State/Department:

Maharashtra

Medical Age certificate

CCF05092022_0001.jpg

Aadhar Card Number

918543705639

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

Address line 1

At po Umadi Tal jath dist Sangli

Address line 2

At po Umadi Tal jath dist Sangli

City

Umadi

Pincode

416413

State

Maharashtra

Country

India

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