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Jawahar Lal Yadav Thana Bhamora,

S.H.O Tehsil Aonla


Distt - Bareilly


Verification Certificate

This is to certify that Shri Sandeep Kumar Singh Chauhan Son of , Mahi Pal
Singh Chauhan 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 recommend issue of an Indian Passport to him. Applicant has
been staying at his address continuously for the last one year.

Date of Birth 17 July 1981
Place of Birth Bareilly
Education Qualification B.Sc.
A Profession (Govt./ Private Service/Others) Private Service
Permanent Address Town Bhamora, Post Bhamora, Tehsil Aonla, Bareilly
Present Address Town Bhamora, Post Bhamora, Tehsil Aonla, Bareilly

Place
Office Address with Location
Date:

Office Seal
Signature ..........................
Full Name ..........................
Designation ... ....................
Card No ..............................
Telephone No .....................
(O) .. ,...................................
(R) .......................................
Mobile No ............................

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