To The Relief and Rehabilitation Commissioner (M), Relief Organisation, Jammu. Subject: Application for registration as migrant under Government Employee/ Pensioners category. Sir, Kindly register me/my family as migrant under Government Employee/ Pensioners category as I along with my family have migrated from Kashmir Valley due to turmoil/militancy in the valley. The details are given as under: 1. Name of the Head of the family: __________________________________________ 2. Parentage: ____________________________________________________________ 3. Permanent address in valley: _____________________________________________ 4. Present address at Jammu: Rented House / Own House / Govt. / Accommodation of Sh. _________________________________S/O _____________________________ H.No./Qtr. No ____________________Gali No./Block No._____________________ Mohalla____________________________ Jammu. 5. Date of migration: _____________________________________________________ 6. Reasons of migration: __________________________________________________ 7. Cause of delay in applying, if any: ________________________________________ 8. Department to which belongs with description and posting _____________________ 9. Full details of family S.No. Name of the family members Age Relationship Profession 1. 2. 3. 4. 5. The following documents are enclosed in support of my application for registration. I. Affidavit A & B. II. Drawing and disbursing officers certificate as per format. III. Identification certificate by Gazetted officer as per Performa. IV. Declaration of House owner / Landlord attested by Gazetted Officer as per format. V. Voter list of 1988. VI. Proof of stay in valley before migration. VII. Profession certificate of the family members from competent authority. I solemnly declare that the above particulars given by me are correct and nothing has been concealed. I also declare that myself or other members of my family have not been registered earlier as migrant directly or indirectly any where in the country. I shall be liable for consequences in the event of above information is proved wring. Date: Witness: Name: Signature of the applicant Parentage: Address: To Whom It May Concern I, ___________________________________________________ Designation ___________________________________________ Department ___________________________________________ Personally know Sh./Smt ________________________________ S/O,W/O _____________________________________________ originally resident of ____________________________________ Tehsil _______________District _______________at present putting up in the house of Sh.________________________________________S/O ___________________________ H.No.___________________Gali No.__________________Mohalla____________Jammu. He/She along with his/her family members consisting of members migrated from Kashmir Valley to Jammu on________________________ due to militancy and not other wise. Neither he/she nor any of his/her family members has been registered as migrant either in Jammu or outside the state earlier. Date: Place: Signature of Gazetted Officer with seal Family photograph Govt. of Jammu and Kashmir / Govt. of India Office of the ____________________________________________ To Whom It May Concern Certified that Sh./Smt _______________________________________________________ S/OW/O,D/O______________________________________________________________Desigantion _____________________________is a migrant / regular employee of the office / Department. He / she is drawing leave / regular salary from this department with effect from This office has no objection whatsoever if he / she along with his/her family is registered as Kashmiri migrant. No: Date: Signature of the drawing and disbursing officer / Head of the department With official seal. Professional certificate / Present status certificate of family members from Gazetted Officer. I, _____________________________________________Designation_________________ certify that Sh./Smt./Miss ___________________________________________________ is personally known to me. He/She is unemployed/housewife and not doing any Govt. Job / Pvt. Job at present. Place: Date: Seal and signature of the Gazetted Officer _________________________________________________________________________ Declaration of the House owner It is certified that Sh. / Smt. _________________________________________________ S/D/W Of _______________________________________________________ is residing in my house along with his family of members with effect from ___________________. Attested Gazetted Officer Signature of House Owner with full address
