ANNEXURE ‘F’ SPECIMEN VERIFICATION CERTIFICATE (FOR PASSPORT UNDER TATKAL ONLY)
(To be given in Duplicate* along with Standard Affidavit as atAnnexure “I” )
Reference Number
Applicant’s Photo
Verification Certificate This is to certify that Sh./Smt./Kum. SOME ONE son/wife/daughter of ANOTHER ONE 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 re-issue of an Indian Passport to her. Applicant has been staying at his/her address continuously for the last one year. Date of Birth 01.01.2000 Place of Birth ABCD PLACE Educational Qualification GRADUATE Profession (Govt./Private Service/Others) BUSINESS Permanent Address PERMANENT ADDRESS Present Address PRESENT ADDRESSPlace Office Address with location Date: Signature …………..……………….
Office Seal
Full Name ………………………….……. Designation …………………………….. I Card No. ……………………………….. (Enclose a photocopy of I Card) Telephone No. (O)………………………………………. (R)……………………………………….. Mobile No………………………………
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