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Dated 23-02-2023

This is to certify that Shri S/o was an employee of this


Organization/Department/Ministry and duties performed by him/her during the period(s)
are as under:

Name of From dd/mm/yy To dd/mm/yy Total period Nature of Department/


post held dd/mm/yy Appointment- Specially/Field of
Permanent, experience
Regular,
Temporary,
Part-time,
Contract,
Guest,
Honorary etc.
(1) (2) (3) (4) (5) (6)

Pay scale Duties performed/experience gained in brief Place of posting Worked at


and last in each post(please give details, if need be, supervisory
salary in attached sheet)( in case of Medical level/middle
drawn posts, please mention field of management
specialization) level/head of
branch
(7) (8) (9) (10)

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