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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