Date: __________
Certificate of Existence
This is to certify that I, ____________________________ have seen pensioner Shri/Smt.__________________ (Name of Pensioner) in person on date ________ (date). His/Her signature below has been signed by him/her in my presence and is attested by me.
Verified at this day of ___ Year ____________
| _______________ (Pensioner Signature) _______________ (Pensioner Name) _______________ (Pensioner Contact) |
Certifying Authority:
Signature of the Authorized Person: _______________
Name :______________________________________
Designation :_________________________________
Complete Address:_____________________________
SEAL & STAMP
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