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Address Form

The document is an Address Details Form for Prashant Singh Chauhan, including his current and permanent addresses along with their durations of stay. His current address is in Gurugram, and his permanent address is in Lucknow. There are placeholders for past addresses, but no information is provided for them.

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Prashant Singh
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72 views1 page

Address Form

The document is an Address Details Form for Prashant Singh Chauhan, including his current and permanent addresses along with their durations of stay. His current address is in Gurugram, and his permanent address is in Lucknow. There are placeholders for past addresses, but no information is provided for them.

Uploaded by

Prashant Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

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Address Details Form


Applicant ID/Employee ID: Not Applicable
Name of Candidate/Employee: Prashant Singh Chauhan
DOJ:
DOB: 15/02/2001
fContact Number: 7318543617
Father Name: Pradeep Kumar Singh

Current Address: Duration of Stay


Format (House number, Area, Sector, near by landmark, City, State, Pincode)
From Date To Date
( DD-MM-YYYY) ( DD-MM-YYYY)
PO 282,283 Ashok Vihar Phase 3 extension Block J , Gali no. 8 Gurugram 122001 28 March 2025 Till Present

Permanent Address: Duration of Stay


Format (House number, Area, Sector, near by landmark, City, State, Pincode)
From Date To Date
( DD-MM-YYYY) ( DD-MM-YYYY)
H no 59 Khusboo Enclave , Deva road Lucknow 226028 24 June 2019 Present

Past Addresses: Duration of Stay


Format (House number, Area, Sector, near by landmark, City, State, Pincode)
From Date To Date
( DD-MM-YYYY) ( DD-MM-YYYY)
1

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