APPLICATION FORM FOR PERMANENT RESIDENTIAL CERTIFICATE FROM THE DEPUTY COMMISSIONER, DISTRICT, ARUNACHAL PRADESH 1. Name of the applicant ( In Capita Letter ) 2. Father's / Husband's name 3. Name of person whom required 4. Permanent Address Village Police Station District 5. Present Address Village Police Station District 6. Name of Guardian 7. Relation with the Guardian 8. Present Occupation 9. 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 andbelief. Recommendation of the concernedAdministrative officer of the area. Verified by MP / MLA. Seal.
