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TMI BlogVerification Certificate - Certificate under provisions of rule 114(4) of Income Tax Rules, 1962X X X X Extracts X X X X X X X X Extracts X X X X ..... Verification Certificate - Certificate under provisions of rule 114(4) of Income Tax Rules, 1962 X X X X Extracts X X X X X X X X Extracts X X X X ..... visions of rule 114(4) of Income Tax Rules, 1962] (Affix same photograph as affixed on PAN application form) (To be attested by issuing authority with his/her signature & rubber stamp appearing half ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... on the photograph and half on the certificate) I hereby certify that I know Sh./Smt./Kum .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Son/Daughter ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... of .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. and whose personal particulars, as given below, are correct to the ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... best of my knowledge & belief. I recommend issue of PAN card by Income Tax Department to him/her. Name Father's Name (Even in case of married ladies father's name is to be provided) Date of Birth ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... Residence Address (If applicant has resided at more than one place during last one year than all such address with dates should be mentioned). Office Address Previous name (In case of change in n ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ame) Details of issuer of certificate - Full Name : Designation : Department/Organization : Office address with location : Identity Card No. : (Enclose a photocopy of I-Card) Telephone/Mobile ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... No. :
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Office Seal X X X X Extracts X X X X X X X X Extracts X X X X
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