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PASSPORT
PHOTOGRAPH
 
Date:

Certificate

OF STATE OF ORIGIN

TO WHOM IT MAY CONCERN

I certify that bearer    
Resident at    
He/She hails from    
in     Local Government
Area of     of Nigeria
Autonomous Community    

This Certificate of Origin is an official document issued by the State / Local Government office and is NOT TRANSFERABLE.

GOVERNMENTLIAISON OFFICE
 
FOR: CHAIRMAN
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