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Athlete First Name

VEERPAL

Father First Name

RAM

Father Surname

PAL

Athlete Photo

Date of Birth

18 years old

E-mail Address

veerpaliwlf@gmail.com

Gender

Male

Phone Number

7902152733

Blood Group

(B+)

District

PILIBHIT

State/Department:

UTTAR PRADESH

Medical Age certificate

img20231020_11493690.jpg

Aadhar Card Number

223322075333

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

Address line 1

PIPRIYA AGRU HIMMATNAGAR

Address line 2

PILIBHIT

City

PILIBHIT

Only fill in if you are not human