GOVERNMENT OF ANDHRA PRADESH DOMICILE CERTIFICATE

(The Officers of Andhra Pradesh State have given Certificate

after Presentation below noted proofs)

This is certify that ________________________________________________

was born on ___________ Day of _____________ Month of the year _____________

in the Andhra Pradesh State of India and He / Her is Domicile of Andhra Pradesh State

particulars of presented proofs.

[ ] (A) Applicant has given the answer in prescribed questioner form

[ ] (B) School Leaving Certificate

[ ] (C) True copy of Ration Card

[ ] (D) Affidavit of Domicile

[ ] (E) Aadhar Card

[ ] (F) Voter ID Card

[ ] (G) Declaration made by two persons known to applicant

Applicant Photo

Seal & Signature of Authority Seal & Signature of Authority