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Cation can be used at the Consulate general of India, Chicago or at any other Mission/Consulate Generals of India provided the applicant resides in states of Embassy/Consulate s jurisdiction. (i) (ii) (iii) (iv) Please read the instructions at page 3 before filling the form Please fill the form in BOLD letters For Power of Attorney and Life Certificate sent by mail, the signatures of the applicant should be notarized. Declaration at Section V should be signed by Indian Citizens only PLEASE.

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