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Form-III

(See Rule 4 of PPSA Rules, 2017)

CHARACTER & ANTECEDENT CERTIFICATE

This is to certify that Mr./Ms _______________________________


Son/Daughter/Wife of _________________________________________
whose particulars are given below has good moral character and reputation
and that the applicant has been staying at the following address
continuously for the last one year or since _____________

Date of Birth :
Place of Birth :
Educational Qualifications :
Profession :
Present Address :
Permanent Address :

Issuing Authority Paste your latest


photograph here
Signature
(to be attested)
Name
Designation
Date of Issue
Address/Telephone No.

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