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:_____________________________

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