Annexure 1- Specimen Certificate of Identity/Residence

SPECIMEN CERTIFICATE OF IDENTITY/RESIDENCE

(TO BE ISSUED ON THE OFFICIAL LETTER HEAD OF THE ISSUING AUTHORITY)

This is to certify that Mr/Ms ____________________ son/daughter/wife/husband/ward

______________________ is known to me. His/her photograph is attached and is duly attested by me. His/her
current address is as under:
Current Address of the Resident:

Place:
(Office Address & Location)

Date:
Signature:

Full Name:

Designation

Telephone No.:

Official Seal

(To be signed personally by the issuing authority. Proxy signatures are not allowed.)
i
i Registrar shall translate this document into local language