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Athlete First Name

PRITAM

Athlete Surname

KASHYAP

Father First Name

DEVANANDA

Father Surname

DAS

Mother's First Name

JITIKA

Mother Middle Name

KALITA

Mother Surname

DAS

Athlete Photo

Date of Birth

13 years old

E-mail Address

pritamkashyap2011@gmail.com

Gender

Male

Phone Number

9957815883

Blood Group

(O+)

District

KAMRUP MATRO

State/Department:

ASSAM

Medical Age certificate

FIT CERTIFICATE PRITAM.pdf

Aadhar Card Number

863562069511

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

Address line 1

H.No-113, East Gosala,Hillside

Address line 2

Maligaon Railway HWs,Kamrup Metro

City

Guwahati

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