SPECIMEN
7355351 33828015
Balas
leaded
(GAR & ED C1599/34 1 DL63.1947 MM 241 MB CAL CAD NOMIS31-7m, DESK XXII dated 254.0477)
CERTIFICATE OF AGE, NATIONALITY & DOMICILE
(Issued by Authorities in the State of Maharashtra)
CERTIFICATE
On submission of the proof noted below, it is hereby certified that, MISS. NILOKA
DILIP PAWAR, At. Village KHARGHAR, Taluka PANVEL, Dist. RAIGAD
was born on 1304/1996 (THIRTEEN APRIL NINETEEN NINETY SIX)
At. Village RAMNAD, Taluka RAMNAD, District RAMNAD in the STATE OF
TAMILNADU, within territory of India and that he/she is CITIZEN OF INDIA.
and that he/ she is domiciled in the STATE OF MAHARASHTRA by reason of
Birth/ Residence and Choice
a. | Application Dated 08/05/2013.
b. | Birth/Baptism/ Matriculation or School Leaving/ Bonafide
| Certificate or a like Certificate issued by Head Master/
| Principal of Greenfingers Global School, Kharghar,
| Tal. eovel Dist, Raigad, Reg. No. -, Dated 02/05/2013.
| Affidavit, Dated 09/05/2013,
| Other Proof
a) Ration Card No.» NA.
b) Voter ID LNA
c) Electricity Bill: 6501844580
9) PassportNo. = NYA
n
Reg.No, SB /2n3
Tahasiidar Office, Panvel
Dated 08/05/2013
‘ahasildar & Executive strate,
PANVEL
DISTRICT RAIGAD
warn. servces. mahsoniine.gov.in 3 RRA UBIE se a fh Cee aT OTE IT Ri GAH ogra oe