Þ¼ð¢ð¤ìê¢ ê£ù¢ø¤î¿è¢è£ù õ¤í¢íð¢ðð¢ ð®õñ¢

APPLICATION FORM FOR RESIDENTIAL CERTIFICATE
1.

õ¤í¢íð¢ðî£óó¤ù¢ ªðòó
Name of the Applicant:

2.

îèð¢ðù£ó¢ / èíõó¢ ªðòó¢
Father/Husband’s Name:

3.

Ýí¢‡/ ªðí¢‡
Sex (M/F)

4.

:

Þ¼ð¢ð¤ì ºèõó¤
Residential Address

:

5.

°´ñ¢ð Ü좬ì âí¢‡.
(ïèô¢ êñó¢ð¢ð¤è¢è «õí¢´ñ¢)
Ration Card No.
(Copy to be enclosed)

6.

ð÷¢÷¤ ÞÁî¤ õ°ð¢¹ê¢ ê£ù¢ø¤îö¢ âí¢.
(ïèô¢ êñó¢ð¢ð¤è¢è «õí¢´ñ¢)
School Leaving Certificate
(Copy to be enclosed)

7.

ªðø¢«ø£ó¢è좰 îñ¤ö¢ï£ì¢®ô¢ à÷¢÷
ܬêò£ê¢ ªê£î¢¶ õ¤õóñ¢ îè¢è ê£ù¢ÁèÀìù¢
(Details of immovable property of the parents
in Tamil Nadu with necessary documents)

8.

õ¤í¢íð¢ð ï£÷¢
Date of application

:

õ¤í¢íð¢ðî£óó¤ù¢ ¬èªò£ð¢ðñ¢
Signature of the Applicant

Sign up to vote on this title
UsefulNot useful