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SPONSORSHIP CERTIFICATE

(To be filled in duplicate by the Indian Referee of Pakistani National) '


PHOTOGRAPH OF PAK NATIONAL
NAME:
S/O, D/O, WO:
DATE OF BIRTH:
Applicant's
PASSPORT NO: 2x2 Size
DATE OF ISSUE: Picture

I s/o, d/o, w/o ..,,..i...............

R./o.,...............
Hereby certify that the above mentioned Pakistani' national is my
(Relationship)/known to me for the last ..........'......... Years.
She/he is visiting India for.I!.-E-E-T$.9.lYI.8.*..ry.lY.n4$lLI.Bp..I.'.AT!.YPi. (Mention reason).

I.............,...... further declare that I am willing to host the


afovc mentioned Pakistani national and take full responsibilitl lbr his/her good conduct
duririg his/her stay in India and his/her return to Pakistan on or before expiry of visa.

Signature
Narne:
Address:
Passport no/Yoters id number
(Copy enclosed):
Cell:

Alteslatiort
(To be tlone by any of thefoltowing verifying ofJicers: DM / SP / SDM / Telrsiklar /
BDO / SHO / Group- 'A' ofJicers of ll e Central a,rd Slate Governmenl/ Principal of
Govenurcnt Collegd Principal or Head Moster of Govt Scbool)

It is certified that Shri ... .. . ... . .. . . . ...


(Name / address of Indian referee), who IS sponsonng the visit of
Mr./Mrs./Ms. ..... (Name of the Pakistani
national), to lndia, is personally known to me.

Ofllce Seal Signature:


Name:
Designation:
Identity Card No:
Phone number (landline preferred):

(A copy of the photo identity card of the concemed officer issuing the sponsorship
dertifiiate, duly self attested by the officer concemed, should be attached with the
Sponsorship Certifi cate)