ANNEXURE B FORM OF APPLICATION FOR THE ISSUE OF by keithmurray

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									                             ANNEXURE “B”

FORM OF APPLICATION FOR THE ISSUE OF DIVERGENCE CERTIFICATE

Name :
Detailed Address :-

Father’s Name :-
Date and Place of Birth :-
His/Her Profession/Occupation :-
Whether married/unmarried :-
If Married, Wife’s/Husband’s Name :-
Name as per Birth Certificate, School
Leaving Certificate etc., or other
documents :-
Name as mentioned in any other
documents or as the person is known :-
Documentary evidence relating to the
Divergence Certificate required :-
Purpose for which the certificate is
required:-



                                                          Signature of the applicant

This application should be supported by the following documents :-

   Birth Certificate.

   School Leaving Certificate.

   Ration Card.

   Affidavit.

   Any other document revelant to the matter.

								
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