FORMAT APPLICATION FORM FOR PERMANENT RESIDENTIAL CERTIFICATE FROM THE DEPUTY COMMISSIONER, _____________________ DISTRICT, ARUNACHAL PRADESH. 1. Name of the applicant .............................................................................. (In capital letter) 2. Father's /Husband name .................................................................................. 3. Name of person whom required ............................................................................... 4. Permanents Address .................................................................................. Village ............................................................................ Police Station .................................................................................. District .................................................................................. Present Address .................................................................................. Village ................................................................... Police Station ........................................................................... District ........................................................................... 5. Name of Guardian .................................................................................. 6. Relation with the Guardian .................................................................................. 7. Present Occupation .................................................................................. 8. Specified purpose for which the certificate is required (Will be issued only in case of higher education or specific related). ............................................ ...................... Signature of applicant. Certified that the above particulars furnished by the applicant is correct to the best of my knowledge and belief. Recommendation of the concerned Administrative officer of the Area. Verified by MP / MLA. Seal. *****
