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CERTIFICATE AUTHENTICATION CENTRE
                  APPLICATION FOR AUTHENTICATION OF ORIGINAL EDUCATIONAL CERTIFICATES

NOTE:
1. This form should be filled in CAPITAL LETTERS only.
2. Furnishing Wrong Information or Fake Documents for attestation is
   Punishable Offence.

                                               PART I

1. Name of the Certificate Holder              :

2. Sex                                         :

3. Religion                                    :

4. Caste                                       :

5. Nationality                                 :

6. Date of Birth of Qualification Holder       :

7. Passport Number                             :

8. Name of Father/Mother                       :

9. Present Full Postal Address                 :




10. Permanent Full Postal Address of the       :
    Qualification Holder




11. Phone No. with STD Code                    :

12. Email Address (if any)                     :

13. Present Occupation                         :

14. Name(s) of countries you have              :
    worked earlier
15. Your highest education qualification           :

16. If you have already got visa, Country          :                 Visa No:


           Sl    Name of the   Year   Marks      Total    Register   Name of the           Attestation
           No.   certificate          Obtained   Marks    Number     University/Board/     Required
                                                                     Council/Institution   from
                                                                                           MEA     UAE

           1
           2
           3
           4
           5
           6




                                                PART II
                    (For Persons presenting application on behalf of certificate holder)


1. Name                                            :

2. Relationship with Qualification Holder          :

3. Postal Address                                  :




4. Passport/Electoral Card/Ration Card No          :



                                                  PART III

                                                 Undertaking

I solemnly declare that the documents presented for authentication are original and genuine and the
information given by me above are true to the best of my knowledge and belief. If the documents
submitted by me are found to be fake or information furnished by me false, I am responsible for the same
and action may be taken against me as is considered necessary.




Place :                           Name of the Certificate Holder/Representative:

Date   :

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Certificate attestation Application form

  • 1. CERTIFICATE AUTHENTICATION CENTRE APPLICATION FOR AUTHENTICATION OF ORIGINAL EDUCATIONAL CERTIFICATES NOTE: 1. This form should be filled in CAPITAL LETTERS only. 2. Furnishing Wrong Information or Fake Documents for attestation is Punishable Offence. PART I 1. Name of the Certificate Holder : 2. Sex : 3. Religion : 4. Caste : 5. Nationality : 6. Date of Birth of Qualification Holder : 7. Passport Number : 8. Name of Father/Mother : 9. Present Full Postal Address : 10. Permanent Full Postal Address of the : Qualification Holder 11. Phone No. with STD Code : 12. Email Address (if any) : 13. Present Occupation : 14. Name(s) of countries you have : worked earlier
  • 2. 15. Your highest education qualification : 16. If you have already got visa, Country : Visa No: Sl Name of the Year Marks Total Register Name of the Attestation No. certificate Obtained Marks Number University/Board/ Required Council/Institution from MEA UAE 1 2 3 4 5 6 PART II (For Persons presenting application on behalf of certificate holder) 1. Name : 2. Relationship with Qualification Holder : 3. Postal Address : 4. Passport/Electoral Card/Ration Card No : PART III Undertaking I solemnly declare that the documents presented for authentication are original and genuine and the information given by me above are true to the best of my knowledge and belief. If the documents submitted by me are found to be fake or information furnished by me false, I am responsible for the same and action may be taken against me as is considered necessary. Place : Name of the Certificate Holder/Representative: Date :