FORM OF NATIVITY CERTIFICATE Certified on enquiry that Shri/Smt........................ ........................................................................................................................................... (Full Address) ........................................................................................................................................... ........................................................................................................................ ..... Village ........................................... Taluk................................................................ District is permanently residing in the above village/address and he/she* is a native of Puducherry. This certificate is issued to be produced before the ...................................................................... (Office Seal) Date: Signature: Tahasildar/Village Officer * Please delete the words which are not applicable