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  • Application For Issuance of Certificate-1

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    Rakesh Bhurj
    7 views3 pages
    This document is an application for issuance of a certificate. It requests personal details of the applicant such as name, age, address and contact information. It also requests details of an informant who knows the applicant as well as the type of service and documents required. The applicant's signature is required at the bottom to confirm the application. The summary provides a high-level overview of the key sections and purpose of the document in 3 sentences.

    Original Description:

    Mee seva online application form

    Original Title

    APPLICATION FOR ISSUANCE OF CERTIFICATE-1

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    This document is an application for issuance of a certificate. It requests personal details of the applicant such as name, age, address and contact information. It also requests details of an informant who knows the applicant as well as the type of service and documents required. The applicant's signature is required at the bottom to confirm the application. The summary provides a high-level overview of the key sections and purpose of the document in 3 sentences.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    7 views3 pages

    Application For Issuance of Certificate-1

    Uploaded by

    Rakesh Bhurj
    This document is an application for issuance of a certificate. It requests personal details of the applicant such as name, age, address and contact information. It also requests details of an informant who knows the applicant as well as the type of service and documents required. The applicant's signature is required at the bottom to confirm the application. The summary provides a high-level overview of the key sections and purpose of the document in 3 sentences.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    APPLICATION FOR ISSUANCE OF CERTIFICATE

    Applicant Details:
    Application Number: ___________________________________________________________

    Aadhaar No: _____________________________________________________________________

    Name*:______________________________________Surname*:___________________________

    Gender*:__________________________________ Age*:__________________________________

    Occupation*:______________________________________________________________________

    Address Line1*:___________________________________________________________________

    Address Line2*:____________________________________________________________________

    State/UT*:_________________________________________________________________________

    District*:_________________________________ Mandal*:________________________________

    Village*:__________________________________ City*:__________________________________

    Pin code *:_______________________________Mobile No*:______________________________

    Phone No: _____________________________ Email Id (If Any):________________________

    Informant Details:
    Informant Name*:__________________________________________________________________

    Informant Surname*:_______________________________________________________________

    Relationship with Application*: _________________________________________________


    Service Details:

    Service Required For*: ______________________________________________________

    District/Commissionerate*:_________________________________________________

    Police Station Jurisdiction Known*: Yes No

    ID Proof to be uploaded*: _____________________________________________________

    Address Proof to be uploaded*:_______________________________________________

    Delivery Type*: Manual Local Non-Local

    Applicant signature

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