KURUKULASOORIYA CHANDANA

PRADEEP PREMACHANDRA
SCHOOL OF MEDICAL ASSISTANTS,
C/O INHS ASVINI, NEAR RC CHURCH,
COLABA
MUMBAI, MAHARASHTRA, INDIA -
400005
e-FRRO
Tel.No.: 022-22143772
Email: wncsoma@navy.gov.in

Foreigners Regional Registration Office

Office of the FRRO,3rd Floor, Special Branch Building, Badruddin Tayabji Lane,Behind St. Xaviers College, Mumbai-

SERVICE GRANTED: Registration Certificate/Residential Permit [RC/RP]

Valid From : 15/01/2020 (dd/mm/yyyy) To 30/06/2020 (dd/mm/yyyy)

1. Service Number : MH02/RCF/LKA/268/2020

2. Name in Full : KURUKULASOORIYA CHANDANA PRADEEP PREMACHANDRA
3. Father's Name : KW PREMCHANDRA
4. Mother's Name : MA ARIYASEELI
5. Date and Place of Birth : 10/01/1980(dd/mm/yyyy) DAMBADENIYA 6. Gender MALE

7. Present Nationality : SRI LANKA

8. Number & Expiry of Passport : N5390196 09/02/2025 (dd/mm/yyyy)
Application Id :
9. Number & Expiry of Visa : VL4903135 05/07/2020 (dd/mm/yyyy) MH0200051920
10 Visa Type and Valid For : STUDENT VISA (S-1), DOUBLE ENTRY

11 Service Rendered On : 15/01/2020 (dd/mm/yyyy)

12 Observation :

13. Reason for fees : 14. Fees (INR) :

15. Employer/Institution/Bussiness/Me : SCHOOL OF MEDICAL ASSISTANTS, C/O INHS ASVINI, NEAR RC CHURCH, COLABA
dical Address MUMBAI, MAHARASHTRA, INDIA
Telephone No. : 022-22143772

16. Student Course Details:

SI.No. Course Name Supplementary Enrollment Year Completion Year
1. TEC-I 2020 2020

MH02/RCF/LKA/268/2020
MH0200051920
Issued By
Date: 15/01/2020 (FRRO Mumbai)
Tel No.: 02222621169
Email : frromum@nic.in

*.This is computer generated document and does not require signature/stamp.

*.There is no requirement of endorsement of services on passport.
*.Please surrender this Certificate to the Immigration Officer at the time of your final departure.
*.To be produced during travel from India or back, wherever such travels are permissible
*.RP/RC shall be renewed at least one month before the expiry of the present RP/RC.
*.The genuineness of this document may be ascertained by contacting the issuing authority above.
*.If found, please return to the issuing authority.

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