| Image |  |
| Name | Champa Lal Bothra |
| Fater Name | Roop Chand Bothra |
| Mobile No | 9706012224 |
| DOB | 09-11-92 |
| Email ID | rviabc34@gmail.com |
| Address | 2Nd Floor, J. K. Niwas-2, Bazar Road, Ward No. 9 |
| City | Kokrajhar |
| State | |
| PIN | 783370 |
| Blood Group | O+ |
| Date of Aniversiary | 0000-00-00 |
| Business Name | |
| Business Address | 2Nd Floor, J. K. Niwas-2, Bazar Road, Ward No. 9 |
| Business City | |
| Business PIN |