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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_________