THE DELHI CO-OPERATIVE SOCIETIES RULES, 2007

Schedule VII
Form F
(See Clause (17) of Schedule VII)

VERIFICATION CERTIFICATE

Note :- 1. The certificate should be issued on office letter head of the concerned officer.

2. Before giving this certificate, the Gazetted Officer should be aware that

verification of false information is punishable under the provisions of

Indian Penal Code 1860 and The Prevention of Corruption Act 1988.

This is to certify that Sh/Smt./Kum._____________________Son of / Wife of / Daughter

of_______________________whose personal particulars are given below has good moral

character and reputation.

I certify that Sh/Smt./Kum.___________________________ is known to me,

since ______ years and he/she is residing at ______________________________ for the last

_____ years and he/she is the bonafide member of_________________ Co-operative Group

Housing Society Ltd, having membership No. ______.

1. Date of Birth:

2. Office Address, if any:

3. Permanent address:

(with telephone)

4. Present Address:
 (with telephone)

5. Photograph of the member 6. Signature of member of the society

of the society (to be attested by the Gazetted Officer)

(to be attested by the Gazetted Officer) (alongwith seal)

(alongwith seal)

Signature of the

members

Affix passport size

photograph of member

Signature

of Gazetted

Officer

alongwith

seal

Signature of Gazetted Officer

Alongwith seal

Full Name :

Designation :

Full address of the office :

I.Card No. (Enclose photocopy of I. Card)

Tele No. (O) (R)