PROFORMA –III CERTIFICATE OF DOMICILE This is to certify that Sri/Smt. D/o, W/o, …………………………………….S/o, H/o. residing at ………………….. ……….……………………… .………………………………… Hobli/ward. ………………………Taluk/corporation of District, has domiciled in the state of Karnataka, Since ……………………………. ………………years. Place : Dated : Signature, Designation & Seal (R.O. BBMP / Tahsildar / Gazetted officer)
PROFORMA –III CERTIFICATE OF DOMICILE This is to certify that Sri/Smt. …………………………………….S/o, D/o, W/o, H/o. ………………….. residing at ……….……………………… .………………………………… Hobli/ward. ………………………Taluk/corporation of ……………………………. District, has domiciled in the state of Karnataka, Since ………………years. Place : Dated : Signature, Designation & Seal (R.O. BBMP / Tahsildar / Gazetted officer)
cer_dom.docx