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Verification Certificate

This is to certify that Km. Pranjali Bora daughter of Shri M.S. Bora 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 Passport Act 1967, I certify that these provisions are not attracted in case of this applicant and I recommended issue of an Indian Passport to her. Applicant has been staying at her address continuously for the last one year.

Date of Birth Place of Birth Educational Qualification Profession Permanent Address Present Address

: : : : : :

30 May, 2000 Dehradun VIIth class Student Lane No. -3,Ekta Vihar, Sahastradhara Road, Dehradun Lane No. -3,Ekta Vihar, Sahastradhara Road, Dehradun

Place: Dehradun Date: 12-03-2013

Signature .. Full Name: Shankar Singh Bisht Designation: SHO Raipur I Card No.:. (Enclosed a photocopy of I card) Telephone No.:

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