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  • Doc-20230524-Wa0001 230615 192835

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    Ujaan Bhattacharya 11 D
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    This document is a residential certificate for candidates residing in West Bengal for at least the last 10 years as of December 31, 2022. It requires information about the candidate such as their name, address, and signature. It also requires authentication from a certifying authority who must sign and provide their details, including an official seal to verify the candidate's residence in West Bengal for the specified period.

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    DOC-20230524-WA0001_230615_192835

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    This document is a residential certificate for candidates residing in West Bengal for at least the last 10 years as of December 31, 2022. It requires information about the candidate such as their name, address, and signature. It also requires authentication from a certifying authority who must sign and provide their details, including an official seal to verify the candidate's residence in West Bengal for the specified period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    9 views2 pages

    Doc-20230524-Wa0001 230615 192835

    Uploaded by

    Ujaan Bhattacharya 11 D
    This document is a residential certificate for candidates residing in West Bengal for at least the last 10 years as of December 31, 2022. It requires information about the candidate such as their name, address, and signature. It also requires authentication from a certifying authority who must sign and provide their details, including an official seal to verify the candidate's residence in West Bengal for the specified period.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 2

    PROFORMA a1

    Residentlal/Domicle Certificate for candldates residing in the State ofWest Bengal


    continuously for at least last ten (10) years as on 31.12.2022
    Certified that

    Son / daughter of

    resident/permanentresident ofWest Bengal at Village/House No.


    Street

    Post Office_ Police Station


    In the District of under

    Assembly Constituency and has been living in the State of West Bengal
    continuously/ uninterruptedly at least for the lastten (10) years as on 31-12-2022.

    Paste 4 cmx3 cm
    Szeolaur
    recent Canddate's signa ture
    photograph in
    thisbox. Photo
    must be attested Candldate must sign here n front of the
    by the certifying certlfylngauthority
    authority

    (Candidate's photograph)

    Signature of Certifying Authority


    Full Name of Certifying Authority (Block letters)_
    Designation with 0fidal Seal

    Office Address

    Office Phone No. Mobile No: (optional)

    ID No: (optional)

    Note: Photograph is to be attested by the certifying authority.


    The Certifying Authority may preserve aduplicate copy of this Certificate as record.

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