(IN ALPHABETICAL ORDER BY LAST NAME)
DATE OF BIRTH
AGE on 1/25/2020
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I hereby acknowledge and confirm to have read and understood all the aforementioned rules and duly consent to abide by them to the best of my knowledge and ability.
Make Check payable to Federation of Indian Associations and Mail Check To: Saurin Parikh, 4 Algiers Street, Plainview, NY 11803.