Certificate of Age, Nationality and Domicile
Certificate of Age, Nationality and Domicile
12532210126001283832
Certificate Of Age,Nationality And Domicile
Ref 1: G.R.P.& S.D. No.1586/34D, Dated 17.5.1951
Ref 2: G.R.GAD No. Mis.31/76Deskxxxll, Dated 25.8.1977
Ref 3: शा.िन.सा.प.िव.क.डीएमसी.1087/9698/ 608 32. Dated 2.1.1989
Serial No : 90036486662
District : Mumbai Suburban
Certificate of Age, Nationality and Domicile
(Issued by Authorities in the State of Maharashtra)
On submission of the proofs noted below, it is hereby certified that, Mr. Mudassir Husain Khan R/O
ROOM NO. C/5, ASHIYANA SOCIETY, TILAK NAGAR,, SAKINAKA, MUMBAI, Village Saki, Tehsil Kurla,
District Mumbai Suburban was born on 15/02/2004 (Fifteenth of February in the year Two Thousand and
Four) at GONDA, Tehsil GONDA, District GONDA in the State of 'UTTAR PRADESH' within the territory of
INDIA and he is a CITIZEN OF INDIA and has domiciled in the State of Maharashtra.
PARTICULARS OF PROOFS SUBMITTED
1 . UID
2 . Electricity Bill
3 . Ration Card
4 . School Leaving Certificate
5 . RESULT 2009
6 . RESULT 2018
7 . Application Form
Digitally Signed by
Avanti Ajay Mayekar
Date:2022-10-13 5:57:58 PM
Printed By OMTID : VLE Name :Ganesh Kale, Date:13/10/2022 4:06PM
This is a digitally signed document, hence is legally valid as per the Information Technology (IT) Act, 2000.
To verify visit https://www.mahaonline.gov.in/Verify OR SMS “MH<space>CSC<space>VRFY<20 digit Barcode number>” to 166 from a BSNL, MTNL, Tata Mobile and
51969 from others.