(Additional sheet No.4 PTD students) CERTIFICATE OF VERIFICATION (For Elec. /Mech. Engg./ Textile Tech. Candidates) No: ________________________ Date: ___________________ Certify that M/s _____________________________________________ Situated at _______________________________ is a registered organization Under my jurisdiction with: (i) Regd. No. _______________ Dated_________ valid upto ________ (ii) Regd. No _______________ Dated _________ valid upto________ And has carried out works amounting to more that Rs. 2.5 lacs(two lacs and fifty thousand only) during the last financial year as under:- The organization is well established and shri ___________________________ S/o _________________________ working as ______________ (Designation) And drawing monthly par of Rs. ________________ P.F A/C no ___________ Who signed in my presence on this certificate has been working with the above firm/industry on the work(s) from _________________ to ________________ The fact has also been verified from the acquittance roll, maintained by firm for the aforesaid period and attested (Photo copy of acquittance roll for the above mentioned period is attached) ______________________ ___________________ Signature of Applicant Signature with seal of office Director/Addl. Director of Factories/General Manager, DIC/ S.E Electrical/S/E Mechanical/G.M of Govt./ Semi. Govt. Organization. Name (Capital Letters)_______________________ Tel no. ___________________________________ Address__________________________________ Date : ___________________________________
