GOVERNMENT OF WEST BENGAL
REFUGEE RELIEF & REHABILITATION DEPARTMENT
WRITERS’ BUILDING CALCUTTA – 700001

Sub :Determination of Refugee Status for the purpose of regularisation of family members of the original refugee squatters’ now deceased.

The undersigned is directed to inform him that the Proforma Certificate for determination of Refugee Status for the purpose of regularisation of the family members of the original squatters, now deceased is given below :-

Certified that Shri/Smt.....................................................................................................Son/Daughter/Wife ................................................................................................................................................formerly of village ........................................................................P.O.....................................................................Dist. ......................................... P.S.................................................................... Who migrated to India on ...................................................... (i.e. before 25.3.1971) and since then he/she was residing at ................................................................P.O................................................................................................ Dist. .............................................................P.S.........................................................Was a bonafide displaced person from the then East Pakistan (Now Bangladesh), who died on................................................... Now his/her son/daughter/grandson/grand-daughter is/are living on that plot of land as his/her legal heir(s).

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Signature of the Officer.
Issuing Certificate (with his Official Seal).
Joint Secretary.