I, Anil Ram S/o Sadabrichh Ram , Resident of Village- Basahan, Post- Vijaypur, Ps-

Vijaypur, Dist- Gopalganj, do hereby state as follows :

1. That I have made an application for Passport ECNR at RPO Patna.

2. That I am eligible for ECNR stamp on my passport by virtue of the fact that I have
stayed abroad for over three years .
3. That I have worked in the following countries for the period mentioned againts
each which together total up to more than three years.

Passport Page Departure Date Page Arrival Date YY-MM-

No. No. No. DD
K822446 29 MUMBAI TO 10-04-2013 10 SAUDI ARABIA 20-04-2017 04-00-10
3 SAUDI ARABIA TO NEW DELHI
K822446 02 NEW DELHI TO 13-07-2019 05 UAE TO 02-11-2021 02-03-19
3 UAE BENGALURU
Total 06-03-19

-----------------------------------------

Deponent