You are on page 1of 18

5

-
IDENTITY CERTIFICATE
- 
    Certificate to be signed by any one of the following:(1)

 ! # %;
Gazetted officers of Central or State Government;

(2)


-* /   +   ! * -
;
Members of Parliament or State Legislature belonging to the constituency where the candidate or his parent/guardian
ordinarily reside;

(3)

/* 0 /%;
Sub-Divisional Magistrate/Officers;

(4)

0 5 /78  % -;
Tehsildar or Naib/Dy. Tehsildar authorized to exercise magisterial powers;

(5)


< // * /AB;
Principal/Headmaster of the recognized School/College/Institution where the candidate studied last;

(6)

C * %;
Block Development Officers;

(7)

;
Postmaster; and

(8)

;
Panchayat Inspectors;

6
  D E/E/ ................................................................................................................................... 
/
E
.............................................................................................................. * .................................. H .............................. 8
*I  C K D  D
Certified that I have known Shri/Shrimati/Kumari ................................................................................ Son/daughter of
Shri ....................................................... for the last ......................... years ............................ months
and that to the best of my knowledge and belief the particulars furnished by him/her are correct.

 .............................................................
Signature..........................................................
................................
Designation or Status and address................................
 ..........................
Place
 .........................
Date
_____________________________________________________________________________________________________________
(+  )
(To be filled by the office)
(1)

/7 % ,
Name, designation and full address of the appointing authority

(2)


M * 
Post for which the candidate is being considered.

You might also like