Age Certificate

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age certificate

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AGE CERTIFICATE

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This is to certify that Mr. / Mrs……………………………………………

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Son / Wife / Daughter of ………………………………………………….. at

……………………………………………………………...........................aged about

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…………………………………………………….
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MARK OF IDENTIFICATION:

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SIGNATURE OF APPLICANT

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SIGNATURE OF REGISTERED
MEDICAL PRACTITIONER

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