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N as a valuer Pursuant to section 247(1) and rule 17.2(3) 1. Name of the applicant (Individual/Partnership Firm): 2. Category (see Rule 17.2(2)) In case applicant is an individual (for all partners/associates) 3. Father s name/mother s name/spouse s name : 4. Gender : 5. Nationality: Indian other (specify) 6. Date of birth: 7. Place of birth: 8. Permanent address for correspondence: (a) Address Line I Line II (b) City: (c) State: (d) Country: (e) Pin code: (f) Phone: (g) Fax: (h) E-m.

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