Character/Pre-Verfication Certification

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CHARACTER/PRE-VERFICATION CERTIFICATION

1.it is certified that Sri…………………………………………………………………………Son of

……………………………………………………………………………...……..Cast……………………....

Resident of…………………………………….Mandal……………………..Dist…………………….

Whose signature are appended below is known to me for the last……….year

2. To the best of my knowledge and belief:

a) He bears a good moral character

b) He has not been convicted or tried by any criminal court.

c) He has never been imprisoned

d) He has not been dismissed from any Govt. Service.

e) He has not been serving in the Army/Navy/Air Force/TA/Police.

NOTE : Please note that incorrect information will lead to


undesirable Candidature.

Witness No: 1 Witness No: 2

Signature……………………………………… Signature………………………………..
Name……………………………………………… Name……………………………………….

Address………………………………………….. Address…………………………………….

………………………………………….. …………………………………….

…………………………………………. …………………………………….

Date: Signature :

Name:

Place: Signature of SHO:

(Signature of Candidate) NAME (CAPITAL LETTERS)

OFFICE SEAL

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