Tahasil Office, Ambajogai

(Establish Department)
Contact No. 02446-247084

Email: tahambejogai@gmail.com

Verification Certificate ANNEXURE F

Reference Number: WS/15

This is to certify that, ZEBUNISA BEGUM w/o SIRAJ AHAMED KHAN whose personal
particulars are given below, has good moral character and reputation and that after having read the provisions
of Section 6(2) of the Passports Act, 1967, I certify that these provisions are not attracted in case of this
applicant and I recommend issue of an Indian Passport to him/her. Applicant has been staying at her address
continuously for the last one year.

Date of Birth:

17 APRIL 1957

Place of Birth: AMBAJOGAI.

Educational Qualification: SSC.
Profession (Govt. /Private Service/Others): HOUSE WIFE.
Permanent Address: 8/154/1, Pension pura, Ambajogai. Dist-Beed - 431517
Present Address: 8/154/1, Pension pura, Ambajogai. Dist-Beed - 431517

Place: AMBAJOGAI
Date:

/01/2015

Signature,

Tahasildar & Executive Magistrate,

Name: Rahul Madhukarrao Patil,
Designation: Tahsildar Ambajogai.
I Card No.: Xerox Attached,
Telephone no.: 02446-274084,
Mobile no.: +91 8055703111.