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Domicile

This domicile certificate from the Government of Assam certifies an individual's permanent residence and domicile in the state. It provides the individual's name, father/mother's name, date of birth, permanent village of residence, police station, district, state, and confirms they are a domicile of Assam. The authority signing the certificate also attests to the individual's good character and wishes them success in life.

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Binay Thakur
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42K views1 page

Domicile

This domicile certificate from the Government of Assam certifies an individual's permanent residence and domicile in the state. It provides the individual's name, father/mother's name, date of birth, permanent village of residence, police station, district, state, and confirms they are a domicile of Assam. The authority signing the certificate also attests to the individual's good character and wishes them success in life.

Uploaded by

Binay Thakur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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GOVERNMENT OF ASSAM

Recent
passport
size photo
DOMICILE CERTIFICATE

This is to certify that Shri/Smt/Kumari ……………………………………………………………………………………………


S/o, D/o, Shri ………………………………………………………………………………………………………………..……………….
Date of Birth is ………………………………………… Permanent resident of Vill ………………………….……………...
P.O. ……………………………………………… P.S. ………………………………….. Dist …………………………………………….
State ………………………………………. Is domicile of this state.
As per my knowledge his/her character is good.
I wish him / her success in life.

Date :…………………….

Place :……………………. Signature of the authority

GOVERNMENT OF ASSAM

Recent
passport
size photo
DOMICILE CERTIFICATE
This is to certify that Shri/Smt/Kumari ………………………………………………………..………………………………….
S/o, D/o, Shri ………………………………………..…………………………………………………..…………………………………..
Date of Birth is ………………………………………… Permanent resident of Vill ………….………………………………
P.O. ……………………………………………… P.S. ………………………………….. Dist …………………………………………….
State ………………………………………. Is domicile of this state.
As per my knowledge his/her character is good.
I wish him / her success in life.

Date :…………………….

Place :……………………. Signature of the authority

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