4. Present Address State 5. Permanent Address 1. Name 2. Father's Husband's Name 3. Village PO PS District 8. Colour of Eye 7. Height 6. Identification Mark 9. Have you previously held ( If so give details ) Published on National Portal of India (india.gov.in) any I / Card FORM FOR APPLICATION OF IDENTITY CARD (To be filled in capital letters) FORMAT State Village PO PS District Yes No I hereby declare that the above particulars given in the application are true, Enclosed : Two nos. of Passport photograph. complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect at any state, I am liable for legal action. date Signature Employer/ Department ARUNACHAL PRADESH Certified that is working in this establishment as since Seal Name Signature CERTIFICATE TO BE GIVEN BY THE CONTROLLING OFFICER ( To be recommended only on completion of 2 (two) years regular service of Arunachal Pradesh Government employees only. ) son/ daughter/ wife of He/ She is a regular employee of this Department and his/her permanent home address as mentioned above is as per service book. date Published on National Portal of India (india.gov.in) Shri / Smti
