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Non-Remarriage Certificate

UC-82

I Mrs. / Mr. _______________________W/o/H/o ___________


Mrs. / Mr _______________________do hereby declare that I
have not married after the death of my late husband / wife and I
am living with my children as widow / widower.

Attested:
Signature___________________
Address____________________
____________________
Dated:_______ Contact No._________________

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