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AFFADAVIT “A”

I Poonam Kesharwani solemnly affirm and say that what is stated in answer to the
question on the form on the reverse and marked “Q” is true to my knowledge.

Date……………. ………………………

Signature(s) of the Applicant

Solemnly Affirmed at Allahabad on the day of 13th July 2011.

Full Name ……………………………


Address………………………………
Notary ………………………………. ……………………………
Regn No. Signature of Notary