UNMARRIED CERTIFICATE

1. This is certified that Name PAWAN BIHARI son of Shri RAS BIHARI Village – NAGLA
BHURIYA, Post Office – SON, Tehsil – GOVARDHAN, District – MATHURA, State –
UTTAR PRADESH (as per residence certificate) Date Of Birth 16/09/2002 (as per
education certificate) while applying for enrolment in army solemnly affirm and state the
following in his respect.

a. He belongs to the following caste/religion .

Caste – JAT, Religion – HINDU

b. His residential addresses are as under.

Village – NAGLA BHURIYA
Post – SOAN
Tehsil – GOVARDHAN
Police Station – MAGORRA
District – MATHURA
Pin Code - 281123

c. I know him personally.

d. He is UNMARRIED
e. He bears a good moral character.

DATE : 01/10/2021 Signature of indl ______________

COUNTERSIGNATURE

DATE : 01/10/2021

(Signature of sarpanch / village

Gram Pradhan with Stamp)