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PHOTOGRAPHS AND FINGERPRINTS AS PER SECTION 32 A OF REGISTRATION ACT, 1908.

SL. NO.

FINGER PRINT IN BLACK INK (LEFT THUMB)

PASSPORT SIZE
PHOTOGRAPH

NAME & PERMANENT POSTAL ADDRESS OF PERSISTENT/SELLER/BUYER

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SIGNATURE OF WITNESSES	SIGNATURE OF THE EXECUTANTS

1.
2.
I/We send herewith my/our photograph(s) and fingerprints in the form prescribed, through my representative, Sri. _____________________ as I/We cannot appear personally before the Registering Officer in the office of Sub-Registrar of Assurances.

Signature of the Representatives	Signature(s) of Buyer(s)

	Signature of Witness