Format of Affidavit for Certificate of Verification – ANNEXURE ‘J’
Reference Number:_____
This is to certify that Sh./Smt./Kum ________ son of/wife of/daughter of ________whose personal particulars are given below has good moral character and reputation and that after having read the provisions of Section ____of the Passports Act, ____. I certify that these provisions are not attracted in case of this applicant and I, recommend issue of an________ 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: ________ Signature: ________
Office:_______
Seal
Full Name ________
Designation: ________
I Card No.: ________