VERIFICATION CERTIFICATE

This is to certify that ______________________S/o, W/o, D/o__________________ whose

personal particulars are given below has good moral character & reputation.

I certify that ______________________ is known to me, since ……. years and he /she is residing
at_______________________________________________, for last …… years and he/she is the
bonafide member of Ravi Shankar Cooperative Group Housing Society ltd. (Regd. No. 689 G/H)
having membership No.______

1. Date of Birth :-
2. Office Address (if any) :-
3. Present Address :-
4. Permanent Address :-

5. Photograph of the 6. Signature of member of the society

Member of the society

(To be attested by the Gazetted Officer) (To be attested by the Gazetted Officer)

(Along with seal) (Along with seal)

Member Photograph

1.Full Name :- ……………………….

2.Designation :- ……………………….
3.Address of the :- ………………………
Office
4.Identity Card No :- ……………………… (Enclose photocopy of I. Card)
5.Telephone No. :- ………………………