Verification Certificate

Photo

I hereby certify that I know

w/o /Son of

And whose personal personal particulars. As given below, are correct to the best of my knowledge &

Belief. I recommend to open Bank account to him/her.

Name
Husband’s/Father’s Name

Date of Birth
Residence Address
(if applicant has resided at more
Than place during last one year
Than all such address with
Dates should be mentioned)
Details of issuer of certificate:

Full Name : YANDAPALLI ANURADHA

Designation : MEDICAL OFFICER

Department/Organization : Dept. Of AYUSH

Office address with location : Govt.AyurvedicDispensary,Sevamandir,Parigi Mandal, Anantapur Dist.

Identity card No: : 1024835

(Enclose a photo copy of I-Card)

Telephone/Mobile No: : 94409 19942

Date: (Singnature)

Place: HINDUPUR. Office Seal