FORM “B” CERTIFICATE OF AGE [See Rule 5(3)] Certificate No. _____________________ I hereby certify that I have personally examined (Name)_____________________________________________________
son/daughter of ______________________________________________
residing at _________________________________________________
and that he/she has completed his/he fourteenth Year and his/her age, as nearly as can be
ascertained from my examination, is ___________________________________
Years (completed). His/her descriptive marks are_________________________
Thumb impressions/signature of child)________________________________
Medical Authority
Place__________
Date___________ Designation.
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