Professional Documents
Culture Documents
Format For GO 58 English1
Format For GO 58 English1
Affix Photo of
the Applicant
along with his
/her Spouse
Format
Appendix-I
Application. No:
1.
2.
3.
4.
:
:
5.
6.
7.
:
:
DECLARATION
I. S/o. D/o. H/o. W/o of Sri / Smt.
................................................................... declare that the information furnished above is correct. I
agree to the terms and conditions of the G.O.MS.NO. 58, Revenue (ASSN.II) Dept., dt.30.12.2014.
Place:
Date:
SIGNATURE:
Name in Block Letters:
--------------------------------------------------------------------------------------------------------------------
Application.No:
ACKNOWLEDGEMENT FOR APPLICATION UNDER G.O.MS.NO.58 DATED: 30.12.2014.
The application of Sri / Smt . S/o. D/o. / H/o.
W/o. of Sri / Smt ................................................................... is received on _________along with
Check List and enclosures.
DATE:
GOMs No 58
b. Driving License
c. Passport
3. Proof of possession:
a) Registered Document