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State Subject Certificate

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State Subject Certificate

To

The Tehsildar,
Srinagar,South/North.

Subject: - Grant of Permission Resident Certificate in favour of

Mr./Miss/Mrs.________________________________________

S/o,D/o,W/o__________________________________________

R/o_________________________________________________

Sir,

Kindly issue Permanent Resident Certificate in my favour on the following grounds


which are totally correct to the best of my knowledge.

1. That I am permanent resident of J&K state as defined in section 6 of constitution of


J&K state.
2. That I have never migrated nor attained citizenship of any foreign country.
3. That my forefathers have been residing in J&K state prior to 1942 B.K.
4. That I have not obtained the said PRC from any where so far.
5. That I am permanent Ration holder of Tehsil Srinagar.
6. That I am married/un-married yet.
7. That I have produced two witnesses who will identify and attested my claim
8. That I have changed the place of residence from______________________
____________________________________________________________
9. That I am real _______________________of________________________
Whose PRC is enclosed.
10. That I have enclosed the following documents as proof in support of my claim.

I) Original PRC of my father/brother/husband_______________________


II) Non-migration certificate of Gazetted Officer.
III) Relationship Certificate of Gazetted Officer.
IV) Voter list with Khaki-Desti attested by N.T. concerned.

In light of the above facts hope your good self will issue the requisite certificate in my
favour and oblige.

Dated_________________ Yours faithfully,


GOVERNMENT OF JAMMU & KASHMIR
Office of the Deputy Commissioner__________________________________
District (the prescribed authority under act. No.XIII of 1963)

FORM “A” (See Rule 4)

This is to certify that______________________________________________

Son/Daughter/Wife of_____________________________________________

Resident of village_______________________________Tehsil___________

District______________________ is a permanent resident of the Jammu & Kashmir


State as defined in section 6 of the Jammu and Kashmir Constitution.

Deputy Commissioner
District____________
Full Description.
Left hand thumb and finger prints
Height………...

Age…………

Mark of
Identification

Signature of the
Applicant

Deputy Commissioner/Asstt.Commissioner
Srinagar
Ground on which the certificate is given

Deputy Commissioner
District……………..
Overleaf Certificate Has Been Issued On The
Following Documents

Certificate of Gazetted Officer

i. Certified that Shri________________________________________


S/o____________________________________________________
R/o____________________________________________________
Tehsil Srinagar is a permanent resident of J&K state and also certified that the
aforesaid person has neither migrated nor attained any citizenship of any
foreign country.

ii. Certified that the above mentioned applicant has changed his place of
residence from__________________________to________________
permanently for residential purposes.
iii. Certified that the above mentioned lady is still un-married up to date the
___________________________________________.

iv. Certified that said individual is real____________________________ Of


Shri_______________________________________whose PRC is enclosed
as proof.

The contents of above mentioned certificates are correct to the


best of my knowledge 7 if it turns to be incorrect. I shall be personally
responsible for the same.

Sig. of Gazetted Officer


Date of Issue With stamp

1. The above mentioned applicant in whose favour PRC has been


recommended & issued has been identified Shri____________________
_______________________________________________________
2. The PRC of above mentioned person has been recommended and issued on
their following documents.
i. PRC of Father/Brother/Husband bearing No._______________
For their____________________________________________
Of Tehsil Srinagar_____________________________________

ii. Spot verification report of Naib Tehsildar concerned including Site


plan of house, voter list/Extract of Jamabandi Shajra Nasab.
iii. Statement of witness, affidavit duly attested.

Sig. of Dealing Assistant


AFFIDAVIT

I______________________________________________________________

S/o,D/o,W/o_____________________________________________________
hereby solemnly declare as under:-

1. That I am permanent resident of J&K state as defined in section 6 of constitution of


J&K state.
2. That I have never migrated nor attained citizenship of any foreign country.
3. That my forefathers have been residing in J&K state prior to 1942 B.K.
4. That I have not obtained the said PRC from any where sofar.
5. That I am permanent Ration holder of Tehsil srinagar.
6. That I am married/un-married yet.
7. That I have produced two witnesses who will identify and attested my claim
8. That I have changed the place of residence from______________________
____________________________________________________________
9. That I am real _______________________of________________________
Whose PRC is enclosed.
10. That I have enclosed the following documents as proof in support of my claim.

I) Original PRC of my father/brother/husband_______________________


II) Non-migration certificate of Gazetted Officer.
III) Relationship Certificate of Gazetted Officer.
IV) Voter list with Khaki-Desti attested by N.T. concerned.

Whatever I have stated above are true and correct to the best of my knowledge and
belief and nothing has been concealed in it.

Deponent

Verification:-
Verified that the contents of this affidavit are true and correct to the
best of my knowledge and belief and nothing has been concealed therein.

Deponent

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