SPONSORSHIP

CERTIFICATE
(To be filled in duplicate by the Indian Referee of PN)


PHOTOGRAPH OF PAKISTANI NATIONAL
Name : SHAIKH SHAHRYAR AHSAN
S/o,W/o,D/o : SHAIKH AHSANUDDIN
Date of Birth : 27 September 1981
Passport No. : AC1117422
Date of Issue : 22 May 2013


I Nayna Naresh Kothari s/o, d/o, w/o Naresh Chatrabhuj Kothari r/o 2, Jairaj Terrace, 1st Floor, L.T.Rd., Vazira
Naka, Borivali West, Mumbai 400092, Maharashtra hereby Certify that the above mentioned Pakistani National
is my Close Family Friend (relationship) known to me for the last 28 years. He/She is visiting India for Attending
my home ceremony & visiting me after my severe surgery of Cancer bringing her newly born son for fulfilling
the Haji Ali Dargah Mannat. (mention reasons).

I Nayna Naresh Kothari further declare that I am willing to host the above mentioned Pakistani National and
take full responsibility for his/her good conduct during his/her stay in India and his/her return to
Pakistan/country of residence on or before the expiry of visa.

Name: Nayna Naresh Kothari
Address: 2, Jairaj Terrace, 1st
Floor, L.T.Rd.,Vazira Naka,
Borivali West,Mumbai 400092
Maharashtra.
Passport No.: N6578194
(Copy Enclosed)

Signature

Attestation
(To be done by the DM/SP/SDMT/Tehsildar/BDO/SHO/Group-‘A’ officers of the
Central and State Government/Principal of Government College/Principal or Head
Master of Govt. School)

It is certified that Shri Nayna Naresh Kothari, r/o 2, Jairaj Terrace, 1st Floor, L.T.Rd., Vazira Naka, Borivali West,
Mumbai 400092, Maharashtra (Name/address of Indian referee), who is sponsoring the visit of Shaikh Shahryar
Ahsan (Name of the Pakistani National), to India, is personally known by me.

Office Seal
Signature: _________________
Name: Malkan Kumud Dilip
Designation: Head Mistress
Identity Card No.: AITPM6551D
Phone No.: 022-25000518


( A copy of photo identity card of the concerned officer issuing the Sponsorship Certificate, duly self attested by
the officer concerned, should be attached with the Sponsorship Certificate ).