APPENDIX-X CERTIFICATE TO BE FURNISHED BY CHILDERN/GRAND CHILDERN OF POLITICAL SUFFERERS Certified that Sh. ___________________________ who is Father /grandfather/ mother of Mr. ______________________Name of the candidate) and of village town _____________________________ P.O __________________________ Tehsil ____________________ district ____________________________ is a bonafide resident of Punjab and has been declared political sufferer by the Punjab Govt. and in recognition there of has been issued Identity card no ___________________________ Place: (Official Seal) Signature of concerned Deputy Commissioner ADC/GA to DC where the political sufferer is Residing / registers are maintained by the DC office Date:
