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Annexure-XIX
CERTIFICATE FOR THE EX-SERVICEMEN OF
INDIAN DEFENCE SERVICES/PARA-MILITARY FORCES
Certified that Number _____________Rank _________ Name ____________ Son of
Sh.________________ Father of ___________ Resident of Village______________ Post Office _________
Tehsil __________ Distt. ___________belonging to the State of Haryana, as per his/her service record at the time
of entry into service, had served in the Army/Air Force/Navy/___________ (Name of the Para-Military Force)
from _________ to_________ and subsequently discharged/retired from the service on _______________ as per
his/her service record. At the time of entry into service the home address given is ____________________
(Distt. ________________) Haryana.
Signature
Place ________________________ Officer Commanding/
Competent Authority
Dated ________________________
(with Official Seal)
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