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Bonafide Himachali Certificate Application (Form-F) with Supporting Affidavit

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  1. Applicant
  2. Basis of eligibility
  3. Filing and swearing

Step 1 of 3

Applicant

For example: Priya Sharma

For example: daughter of Sh. Naresh Sharma

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Applicant's present addressNeeded

For example: Palampur, District Kangra

For example: Halqa Sidhpur

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PART I — APPLICATION FOR BONAFIDE HIMACHALI CERTIFICATE
(Form-F)

To,
The Sub Divisional Officer (Civil) / Tehsildar,
__________, Himachal Pradesh.

Subject: Application for grant of a Bonafide Himachali Certificate.

Sir/Madam,

  1. I, __________, __________, born on __________, resident of __________, respectfully apply for the grant of a Bonafide Himachali Certificate in Form-G.
  1. Patwar Circle (Halqa) for verification: __________.
  1. Basis of claim: __________.
  1. Particulars: __________.
  1. Purpose for which the certificate is required: __________.
  1. I request that the Patwari of the Circle named above be directed to verify the facts stated in this application and to submit a report, and that the certificate be issued to me accordingly.

Place: __________
Date: __________

Signature: ______________________________
__________

PART II — SUPPORTING AFFIDAVIT

I, __________, __________, resident of __________, do hereby solemnly affirm and declare as under:

  1. That I am the Applicant named in the application above, seeking a Bonafide Himachali Certificate from the Sub Divisional Officer (Civil) / Tehsildar, __________.
  1. That __________.
  1. That the particulars given in support of that claim are: __________.
  1. That I am seeking this certificate for the purpose of __________, and for no other or collateral purpose.
  1. That the statements made above and in the accompanying application are true to my knowledge and belief, that nothing material has been concealed, and that I am aware I am liable to be prosecuted if any statement made here is found to be false.

DEPONENT

Place: __________
Date: __________

Signature: ______________________________
__________

VERIFICATION

Verified at __________ on __________ that the contents of paragraphs 1 to 4 of this affidavit are true and correct to my knowledge, that no part of it is false and nothing material has been concealed therefrom.

DEPONENT

Signature: ______________________________
__________

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PART I — APPLICATION FOR BONAFIDE HIMACHALI CERTIFICATE
(Form-F)

To,
The Sub Divisional Officer (Civil) / Tehsildar,
__________, Himachal Pradesh.

Subject: Application for grant of a Bonafide Himachali Certificate.

Sir/Madam,

  1. I, __________, __________, born on __________, resident of __________, respectfully apply for the grant of a Bonafide Himachali Certificate in Form-G.
  1. Patwar Circle (Halqa) for verification: __________.
  1. Basis of claim: __________.
  1. Particulars: __________.
  1. Purpose for which the certificate is required: __________.
  1. I request that the Patwari of the Circle named above be directed to verify the facts stated in this application and to submit a report, and that the certificate be issued to me accordingly.

Place: __________
Date: __________

Signature: ______________________________
__________

PART II — SUPPORTING AFFIDAVIT

I, __________, __________, resident of __________, do hereby solemnly affirm and declare as under:

  1. That I am the Applicant named in the application above, seeking a Bonafide Himachali Certificate from the Sub Divisional Officer (Civil) / Tehsildar, __________.
  1. That __________.
  1. That the particulars given in support of that claim are: __________.
  1. That I am seeking this certificate for the purpose of __________, and for no other or collateral purpose.
  1. That the statements made above and in the accompanying application are true to my knowledge and belief, that nothing material has been concealed, and that I am aware I am liable to be prosecuted if any statement made here is found to be false.

DEPONENT

Place: __________
Date: __________

Signature: ______________________________
__________

VERIFICATION

Verified at __________ on __________ that the contents of paragraphs 1 to 4 of this affidavit are true and correct to my knowledge, that no part of it is false and nothing material has been concealed therefrom.

DEPONENT

Signature: ______________________________
__________

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