Proforma of Permanent Resident Certificate:

SL. NO .........
DC (IE)/6/2/97
GOVERNMENT OF MANIPUR
OFFICE OF THE DEPUTY COMMISSIONER
IMPHAL EAST DISTRICT, MANIPUR

PERMANENT RESIDENT CERTIFICATE

Porompat, the .................

    Shri/Smt/Km .......................................................................................................................................................S/O,D/O,W/O, Shri/Smt ......................................................................................................................................................................................... of ...........................................................................................................................................................................within Imphal East District is a resident of Manipur State and a Citizen of India by birth.

                                               He / She is not related to me.

D.C/Dist. Magistrate/Addl.Dist. Magistrate

Imphal East District, Manipur.