SCHOOL / COLLEGE LETTER HEAD BONAFIDE CERTIFICATE 1. Name of the student : 2. Name of the parent
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Certificate No._
Date: BONAFIDE CERTIFICATE (ON INSTITUTION LETTER HEAD ONLY)
This is to certify that Mr./Mrs./Miss. ___________________________________________________ national is a bonafide student of this Institution. His / Her details are given below. 1
Name of the Student
2
Date of Birth :
3
Nationality :
4
Father’s / Husband’s Name :
5
Passport No. :
6
Passport Issue Date :
7
Student Visa No.:
8
If applying for extension, date up to which extension recommended.
9
Whether student visa issued is for this course and Institution. If no, whether permission of FRRO obtained for change of course / Institution.
10
Previous Residential Permit Validity :
11
Present Residential address in India :
12 13 14 15
Name of the Course : Institution Registration No. of the student : Name and reference no. of the Recognizing authority of the institution/Course offered: Course Period : From :
16
Year and semester of study:
17
Attendance Percentage in figures [for extension only] :
18
Purpose of issue of certificate [Registration/Extension/Exit/Return Visa/Others]:
19
Remarks, if any :
Office Seal
Sex
M
Affix recent passport size photograph duly attested by the head of the institution.