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    Proforma B: Residential/Domicile Certificate

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    ArijitArikNath
    This document provides a pro forma or template for a residential/domicile certificate for candidates who are not residents of West Bengal but whose parents are permanent residents of West Bengal. The certificate requires information about the candidate and their father/mother including photographs, signatures, identification of the permanent home address in West Bengal, and certification by an official authority.

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    Proforma B: Residential/Domicile Certificate

    Uploaded by

    ArijitArikNath
    62 views1 page
    This document provides a pro forma or template for a residential/domicile certificate for candidates who are not residents of West Bengal but whose parents are permanent residents of West Bengal. The certificate requires information about the candidate and their father/mother including photographs, signatures, identification of the permanent home address in West Bengal, and certification by an official authority.

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    jwDc5TYTYGvtJ96wdSnP(1).pdf

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    This document provides a pro forma or template for a residential/domicile certificate for candidates who are not residents of West Bengal but whose parents are permanent residents of West Bengal. The certificate requires information about the candidate and their father/mother including photographs, signatures, identification of the permanent home address in West Bengal, and certification by an official authority.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    62 views1 page

    Proforma B: Residential/Domicile Certificate

    Uploaded by

    ArijitArikNath
    This document provides a pro forma or template for a residential/domicile certificate for candidates who are not residents of West Bengal but whose parents are permanent residents of West Bengal. The certificate requires information about the candidate and their father/mother including photographs, signatures, identification of the permanent home address in West Bengal, and certification by an official authority.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    EVETS-2018 Information Bulletin Page: 18/27

    APPENDIX -3

    PROFORMA b
    Residential/Domicile Certificate for candidates not residing in the State of West Bengal
    but whose parent(s) is (are) permanent resident(s) of West Bengal having their permanent
    home address within West Bengal
    Certified that _____________________________________________

    Father/ mother of ________________________________(the applicant) is/ are


    permanent Resident of West Bengal at Village/House No. ___________________

    Street _____________________________________________________________

    Post Office _______________________Police Station _______________________

    In the District of _____________________________

    Under ____________________________ Assembly Constituency

    Father’s/ Mother’s Signature


    Paste 4 cmx3 cm
    Paste 4 cmx3 cm
    size recent colour
    size recent colour
    photograph of
    photograph of the Candidate’s Signature
    father/ mother of
    candidate in this
    the candidate in
    box
    this box
    Candidate must sign here in front of
    the certifying authority
    (Candidate’s Photograph) (Father’s/ Mother’s Photograph)

    Signature of Certifying Authority _____________________________________________

    Designation with Official Seal ________________________________________________

    Full Name of Certifying Authority _____________________________________________

    Office Address ____________________________________________________________

    Office Phone No. _________________ Mobile No:_________________(optional)

    ID No: ______________________________(optional)

    Note: Photographs are to be attested by the certifying authority.


    The Certifying Authority should preserve a duplicate copy of this Certificate.

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