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Reference 1

Name : _________________________________________________

Name of the Organisation : _________________________________________________

Designation : _________________________________________________

Present Address : _________________________________________________

Years Known : _________________________________________________

E Mail ID : _________________________________________________

Contact No : _________________________________________________

Relation with the Candidate : _________________________________________________

Brief certification / description of the candidate ’s character:

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Seal & Signature of the Reference

Date: ______________________

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