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Application Form For Domicile Certificate: Applicant's Details
Application Form For Domicile Certificate: Applicant's Details
Applicant’s Details
Photograph
1. Salutation*: __________
8. Gender*: ______________
Srl Level Name of Institution Class From Class To From Year To Year
Srl Address Rural/ Sub- Block/ PIN PO PS District State Country House
Urban division Municipality/ Type
Corporation
Name
Other Details
56. Whether Applicant / Parents possesses any immovable property in West Bengal: _______
(Yes/No)
I hereby declare that the above information is true to the best of my knowledge and belief.
Signature: __________________________________