Government of Punjab

Department of XXXXXXXXXXXXXXXXXXX
Address
Telephone : Oxxxxxxxxxxxx

This is to certify that _______________W/o Sh. is known to me.

her photograph is attached & is duly attested by me. her date of birth is 30th
May,1973 i.e. 30/05/1973. his current address and phone number is as under:
Resident Name:
W/o Sh._________
Address:
Pin -
Mobile:

(Officer Details)
Signature
F ull Name:
Designation:
Telephone no:

Official Seal Place: O/o

Date: