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To whom it may concern

(To be attested by issuing authority with


his/her signature & rubber stamp appearing
half on the photograph and half on the
certificate)

I hereby certify that I know Sh./Smt................……………………………….


son/daughter/wife of .....................……………………...and his/her personal
particulars as given below are correct to the best of my knowledge and
belief.

Name
Son/Daughter/Wife of
Date of Birth

Residence Address

Details of issuer of certificate

Office Address :
(Signature)

Full Name :

Designation :
Office Seal :

Date :

Place :

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