GOVERNMENT
OF ASSAM
OFFICE
OF THE __________ GAON PANCHAYAT
__________,
DIST. - TINSUKIA , ASSAM.
-------------------------------------------------------------------------------------------------------------------------------
NO. Dated :
TO
WHOM IT MAY CONCERN
This
is to certify that Smt.____________________
Daughter
of _________________
(Father)
/(or) _________________
(Mother) of Village _____________________________________ Revenue
Circle of ___________
District _________________ State of Assam
who is aged about ___ Years was a resident within the jurisdiction of
the said Gaon Panchayat area. Smt. ________________
got married on ___/___/____
(date/ month/ year) to Sri ___________________ son of
_________________
(Father)/or _________________(Mother)
Who are residents of Village___________ / Gaon Panchayat __________ /
Ward under No____________ Revenue Circle of ________________
District ___________
of Assam . Smt.
_______________
has now migrated from the said Gaon Panchayat area to the above
mentioned location by virtue of her marriage which was solemnized as
aforesaid.
This
certificate is issued based on the evidence placed before me.
Signature
:
Name
of G.P. Secretary :
Date
of Issue :
Office
Seal :
Office
Address :
Contract
No. :
Counter
Signature :
Name
of Circle Officer/Executive Magistrate/ Block Development Officer :
Date
of Issue :
Office
Seal :
Office
Address :
Contract
No :
Memo
No.________________________ Date :
Copy
for information and necessary action to :
Circle
Officer. _____________
Revenue Circle.
Smt.
_________________
( Concerned married Woman)
Office
File.
Signature
:
(
Name of GP Secretary):
(
Date of Issue):
(
Office Seal):
DISCLAIMER
It may be added that this certificate shall be accepted only as a
supporting document for establishing linkage with the parent (S) of
the aforementioned person, for whom the certificate is issued. This
document shall be valid only if accompanied by Legacy Date or any of
the other admissible documents issued for the person with whom
linkage is claimed for inclusion in updated NRC.
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