You are on page 1of 1

CertifiCate of address

TO WHOMSOEVER IT MAY CONCERN

This is to certify that Shri/Smt. _________________________________________________

C/o S/o D/o W/o Shri. ________________________________ (D.O.B. _______________)

Residing at House/ Bldg./ Apt: __________________________________________________

Street/ Road/ Lane: _________________________ Landmark: ________________________

Area/ Locality/:____________________ Village/ Town/ City __________________________

P.O___________________________________ District: _____________________________

State: ________________________________ Pin Code _________________ is known to

me for the last _________Year/s.

This certificate is being given to the individual for

Enrolment in ________________________

Updating in Adhaar No: _____________________________


(Tick whichever is applicable)

Photo Graph
Signature of the officer
Attested by the
(MP or MLA or Gazetted Officer or Tehsildar)
Officer

Seal

Date: Signature of applicant

Note: To be printed on Government Letter Head only.

You might also like