Sl.No.. .....of 20... GOVERNMENT OF MANI PUR OFFICEOFTHEDEPUTY COMMISSIONER:IMPHALWEST DISTRICT MANI PUR DOMICILE CERTIFICATE Imphal ,the th 20.... This is to certify that Shri/Smt/Km ............................... son/daughter of ............................. of ..................................... sub-division...................within Imphal West District is a Domicile of Manipur State and a Citizen of India by birth. He/She is not related to me. Place Deputy Commissioner Date Imphal West District Manipur. http://imphalwest.nic.in