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Verification Certificate for Tatkaal Passports

ANNEXURE ‘F’
SPECIMEN VERIFICATION CERTIFICATE (FOR PASSPORT UNDER TATKAAL ONLY) (On official letter head of verifying authority)
(To be given in Duplicate* along with Standard Affidavit as at Annexure “I”)

Reference Number Applicant’s Photo
Verification Certificate
This is to certify that Sh./Smt./Kum. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. son/wife/daughter of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. 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 issue of an Indian 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. _ _ _ _ _ _ _ _ _ _ _ _
(Enclose a photocopy of I Card)
Telephone No.
(O)_ _ _ _ _ _ _ _ _ _ _ _
(R)_ _ _ _ _ _ _ _ _ _ _ _
Mobile No _ _ _ _ _ _ _ _ _ _ _ _

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