Office Seal: (Enclose A Photocopy of I Card)
Office Seal: (Enclose A Photocopy of I Card)
Applicants Photo
Verification Certificate
This is to certify that Sh./Smt./Kum. .. son/wife/daughter of
. whose personal particulars are given below, has good moral character and
reputation and that after having read the provisions of Section 6(2) of the Passports Act,
1967, I certify that these provisions are not attracted in case of this applicant and I,
recommend issue of an Indian Passport to him/her. Applicant has been staying at his/her
address continuously for the last one year.
Date of Birth
..
Place of Birth
..
Educational Qualification
..
Profession (Govt./Private Service/Others)
..
Permanent Address
..
Present Address
..
Place
Office Address with location
Date:
Office Seal
Signature
Full Name .
Designation ..
I Card No. ..
(Enclose a photocopy of I Card)
Telephone No.
(O).
(R)..
Mobile No
Fax No
E-mail Id..