I, Chandan Kumar Gupta S/o Triloki Sah , Resident of Village- Farusaha,

Post- Mahuawa, Ps- Vijaipur, Dist- Gopalganj, do hereby state as follows :

1. That I have made an application for Passport ECNR at RPO Patna.

2. That I am eligible for ECNR stamp on my passport by virtue of the fact that I have
stayed abroad for over three years .
3. That I have worked in the following countries for the period mentioned againts
each which together total up to more than three years.

Passport Page Departure Date Page Arrival Date YY-MM-

No. No. No. DD
K545125 11 MUMBAI TO 20-05-2015 11 SAUDI ARABIA 10-06-2017 02-00-20
0 SAUDI ARABIA TO NEW DELHI
K545125 11 NEW DELHI TO 05-09-2017 03 SAUDI ARABIA 28-06-2019 01-09-23
0 SAUDI ARABIA TO NEW DELHI
Total 03-10-12

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Deponent