Government of West Bengal

Office of District Magistrate and Collector

Coochbehar

Certificate No.: 0101041704001277

Date: the 20th day of Jan,2017

Domicile Certificate

This is to certify that Md. Afreed Sarkar, son of Md. Abdul Mannan Sarkar is a
permanent resident of Village : VILL-SUKDHANER KUTHI, P.O.:
PATLAKHAWA, P.S.: KOTWALI in the District of Coochbehar, West Bengal, as
confirmed and ascertained by causing enquiry of SDO, CoochBehar.

Signature Not Verified

Digitally signed by ARUNDHATI
DE
Date: 2017.01.20 15:14:01 IST

Sub Divisional Officer

CoochBehar
Coochbehar

"The authenticity of this document can be verified by accessing the URL: edistrict.wb.gov.in and then clicking on the "Verification of Digitally
Signed Document" link and keying in the Unique number 0101041704001277."