Appendix 'G'
(Refer to Para 19 (b ) of SOP)
CERTIFICATE
This is to certify that the details of Shri/Smt. .............................. son/daughter of Shri .................resident of (R/O)................................... ......................... ............. . who has been nominated as proxy in respect of P No ..... .. Rank .. has been published vide DO Part-1 order No. ........... ..dated .
| Place: .. | Signature/Sea1of Unit |
| Date: |