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GAZETED OFFICERS CERTIFICATE

TO WHOM SO EVER IT MAY CONCERN

THIS IS TO CERTIFY THAT I KNOW Mr/Smt/Kumari/M/s ____________________


_____________________________________ SINCE LAST____MONTHS/YEARS HIS/HER
DETAILS ARE GIVEN BELOW

PHOTO
FIRST NAME
NAME
FATHER
D.O.B

MIDDLE NAME

LAST NAME

_________________________________________________________________
__________________________________________________________________
_____________

OFFICE ADDRESS
______________________________
______________________________
______________________________
______________________________
______________________________
RESIDENTIAL ADDRES
______________________________
______________________________
______________________________
______________________________
______________________________

DESIGNATION OF AUTHORITY
NAME _______________________
DESIGNATION _______________
SIGNATURE__________________
PLACE:
DATE :

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