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House No./ Bldg / Ane:
andar
‘Area/tacalty/ Sector:
Vinge Youd Gy anuuasanh ABGARY i
Post Office: = —
District APT pABAD
state! HARYANA
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poe eto
Bote of eth ee fo Is
PES eae
[Name of the Certifier,
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Designation:
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Contact Number:
\ hereby crity above mentioned detais ofthe resident ‘Check for Cerner
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(5) oe) saa/ wes uncial Counctor
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[J Superintendent! Warden) Matron Head of institution
fof Recognized sviter hames/ Orphanages wetierenrg
( erro officer ‘Signature B tama of tne Corie
NOTE. This formats apolealato 801 document tS} Nox 17 20,21,22 31 B32 POA documaets wt Nos 232,37; 28 a 8 AS; FOR dacrrars a Nos 19
‘Bu pdocdecument ar Nox 4:5 148 15 of Schedule Ifthe Aedhaa Eons andlpte Ragone, 2016 > amend om tineto ine