Vous êtes sur la page 1sur 1
CERTIFICATE OF AGE, NATIONALITY , DOMICILE ETC. (Issued by Authorities in the State of Maharashtra) ‘On submis ion of proof noted below. IT IS HERE BY CERTIFIED THAT, | Kumar. VADAR NITIN DATTATRAYA of KUMATHE was bom on the Nineteenth day of February the year Nineteen Ninety (19/02/1998) at Kumathe. Tal- Tasgaon ,Dist- Sangli_in the state of _Maharashtra within the territory of India or of That He is a CITIZEN OF INDIA. “That He is domi cd in the State of Maharashtra By Reason of Birth / Residence PARTICULARS OF PROOF SUBMITTED A. Answer given by the Applicant on the prescribed form of the Questionnaire, 06. 3. Birth/Baptism/Matriculation or Sehool Leaving or a like Certificate issued by L.D{Aba)Patil Vidyalaya, Kumathe Rg.No-VII/516/2009,Dt.16/06/2015 ©. Self Declaration of Shri.Vadar Dattatrava Namdey Declare on Dt, 22/06/2015 D. Other proof Certificate issued by Village Officer of KumatheDate.13/6/2015 Yal-Tasgaon, Dist -Sangli E. Ration Card & 8A Date. Na.Maha- E-Seva Kendra, Kumathe MAG.SR/4 L/€2/ 2015 TabasildgrTasgaon Tahasil Office , Tasgaon Dist. Sanghi Date 24 / 66 / 2015 Token No:013/10 1

Vous aimerez peut-être aussi