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Format of Affidavit for Tatkaal Passport Verificate Certificate -ANNEXURE ‘F’

affidavitReference Number:______

Verification Certificate

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.: ________

Telephone No. (O)_________(R)________

Mobile No.__________


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