SAMPLE: Strictly for Government Purpose.
This Sample is given just to give idea of the actual form.
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GOVERNMENT OF JAMMU & KASHMIR

Office Of The Deputy Commissioner,
Srinagar/Pulwama/Anantnag/Budgam/Baramulla/Kupwara/Kargil/Leh

(The Prescribed Authority Under Act No. XIII of 1963)

Form 'A' (See Rule 4)

This is to certify that  _____________________________
Son/Daughter of  _________________ 				
Resident of village 		 _______  Tehsil _________________  	
District _________ is a permanent resident of Jammu & Kashmir State 
as defined in Section 6 of the Constitution of Jammu & Kashmir.
	
						
							Deputy Commissioner
							 Srinagar/Pulwama
							/Anantnag/Budgam/
							Baramulla/Kargil/
							Leh/Kupwara
							(Seal & Signature)

FULL DESCRIPTION

Height				Right / Left hand Thumb and Finger Prints
Age			Years	
Mark Of Identification


Sig. of Applicant 


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	TEHSILDAR

Mislband register No. :- _______________
Issued on the basis of enquiry held vide Tehsil
file No. : ______________________
of the year______ of Tehsil _____________

Date of Issue________					Deputy Commissioner
							 Srinagar/Pulwama
							/Anantnag/Budgam/
							Baramulla/Kargil/
							Leh/Kupwara
							(Seal & Signature)