GOVERNMENT OF ARUNACHAL PRADESH

APPLICATION FOR PERMANENT RESIDENT CERTIFICATE

Application Processing Location

Select the office where application has to be processed *

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District Office *

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ADC office *

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SDO Office *

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EAC Office *

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CO Office *

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Applicant Details

Salutation of Applicant *

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1. Name of Applicant *

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Salutation of Person *

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2. Name of person for whom certificate is required *

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Who you want to mention *

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Father

Husband

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Photograph of person for whom certificate is required * Image should be in range of 5KB to 250 KB with allowable formats - JPG, PNG

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Father's / Husband's Salutation *

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3. Father's/Husband's Name *

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4. Relationship of Applicant (Sl. No.1) with Person at Sl. No. 2

Located at ? *

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Rural

Urban

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Contact Number: *

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E-Mail *

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Address Details of the Person for whom the certificate is required

6. Permanent Address:

Village/Sector/Colony/Town *

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Post Office *

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Police Station *

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State *

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District *

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Circle *

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HIDE LABEL

If Present address is same as Permanent Address

7. Present Address

Village/Sector/Colony/Town *

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Post Office *

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Police Station *

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State *

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District *

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Circle *

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Circle Permanent

Circle Temporary

Certificate Related Details

8. No. of Year(s) of Residence *

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9.Tribe(as per Govement Gazette) *

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Tribe(Other's)

Date of Birth *

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10. Age (in years)

11. Purpose for which PRC is required *

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12. Reference of ST Certificate (STC No.): *

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Dated *

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In case of married women PRC or STC of her husband must be enclosed

HIDE LABEL1

Is Surrender?

Original PRC No.: *

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Dated

14. Land Passbook No. (In case of Urban area)

Declaration

I do hereby declare that the above particulars are true and correct to the best of my knowledge and belief.

I shall be punishable in the event of finding any of the above particulars false,even in future.

I Agree *