GOVERNMENT OF WEST BENGAL
REFUGEE RELIEF & REHABILITATION DEPARTMENT
GOVERNMENT OF WEST BENGAL Office of the District

Sub :Determination of Refugee Status for the purpose of regularisation of refugee squatters'

In continuation of this Department Memo. No. 264(75) Rehab. dated 19.1.88, the undersigned is directed to inform him that the Proforma Certificate which was enclosed with the G. 0. is hereby amended as follows :

Certified that Shri/Smt------------------------------------------------------------------------------------------------------ Son/Daughter/Wife of---------------------------------------------aged--------------------------------------------years formerl of Village------------------------------------------------P.O.----------------------------------------------------------------- Dist.--------------------------------------------Who migrated to India on------------------------------------------(1.e.before 25.3.1971) and is at present residing at--------------------------------------------------------------------------------------- P.S.-----------------------------------------Dist.---------------------------------------------is a bonabde displace Person from the then East Pakistan(now Bangladesh).

Signature of the Officer issuing
certificate (with his office seal)
Sd/-
Deputy Secretary