{SOCIETY_NAME}

REGN. NO: {SOCIETY_REGISTRATION_NUMBER}

{ADDRESS LINE 1}
{ADDRESS LINE 2}

Date:{LETTER_DATE}

TO WHOMSOEVER IT MAY CONCERN

This is to certify that {APPLIER_NAME}, {RELATION_WITH_OWNER} of
{OWNER_NAME}, who is a bonafide member of our society and staying at
{OWNER_ADDRESS}, since {SINCE_STAYING_DATE}

This certificate is issued to {HIM_HER} on {HIS_HER} request to enable {HIM_HER} to

apply for domicile certificate.

For {SOCIETY_NAME}

Hon. Secretary