ਆਪਣੀ ਜਾਣਕਾਰੀ ਭਰੋ

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. 1. I, __________, __________, born on __________, resident of __________, respectfully apply for the grant of a Bonafide Himachali Certificate in Form-G.

1. 2. Patwar Circle (Halqa) for verification: __________.

1. 7. 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.

Signature: ______________________________
__________

PART II — SUPPORTING AFFIDAVIT

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

1. 1. That I am the Applicant named in the application above, seeking a Bonafide Himachali Certificate from the Sub Divisional Officer (Civil) / Tehsildar, __________.

1. 5. 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

Signature: ______________________________
__________

VERIFICATION

DEPONENT

Signature: ______________________________
__________