Application for countersignature of Deputy Commissioner on documents Name of applicant Father's name Address Document (s) to be countersigned 1 2 3 4 5 Purpose of countersigning Signature of applicant Dated Portion below for office use only Signatures to be countersigned Document Officer whose signatures are to be countersigned Officer's Name Signatures verified 1 2 3 4 5 HRC HRA DRO Not Signed Signed DC
