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Athlete First Name

SUROOR

Athlete Middle Name

MUHAMMED

Athlete Surname

P P

Father First Name

KABEER

Father Surname

C

Mother's First Name

JASNA

Mother Surname

P P

Athlete Photo

Date of Birth

19 years old

E-mail Address

suroormuhammed26@gmail.com

Gender

Male

Phone Number

9037191861

Blood Group

(B+)

District

KANNUR

State/Department:

KERALA

Medical Age certificate

age certificate.pdf

Aadhar Card Number

739737345005

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

Address line 1

SAREENA MANZIL, KOLATHUVAYAL, PAPPINISSERY

Address line 2

PAPPINISSERY P O, PAPPINISSERY S O, KANNUR, KERALA

City

KANNUR

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