au 2m H@onpfl/ Self Declaration sLond wre, sLent ai, Courensru Agro / Ramb, 38 ape coin gysina, Q5q CoLiummerund s\ererasde Asqaild adeeb Qedacr Aeadsinrge sieogiler Guus He ups syflu prox, conerns eupdedul BSAdSET sinengsgid Grex silks mauled eeirenin cromayd,ers seaucdsepid serene) venpasuisildered crorab, pret gefl5s Saadacr/ s,cieemissc Loineowsg YObunoreoa ctor Verena Ashu isso, QsSwu seim_enoné SLL 177 wip 199-6 Sp conde Glows sf Suen prargdens CoHAsncreriuGid coring sACacr rong susmenCanG 2 pySuoisslerCeir. | am Selvan Soundarrajan P son of Thiru Palani P residing at Door No. 38, street of Aandi Street Sedapalayam Annavalli Village / town of Sedapalayam, Taluk of Cuddalore, Cuddalore District, Tamil Nadu State. The details furnished by me are true to the best of my knowledge and believe and nothing has been concealed herein. | declare that | am well aware of the fact that if the information and documents given by me are proved to be incorrect / not true in future, | shall be liable for prosecution under section 177 & 199 of the Indian Penal Code. Signature of the Applicant / wgyeroiér exQuiniusd