| • signed and verified by the applicant | |
| आवेदक: applicant suitor petitioner disabled ex-service | |
| द्वारा: past by oneself herewith through per agency from | |
| हस्ताक्षरित: sealed and delivered signed; sealed and delivered | |
| और: More yet too much further else also and | |
| सत्यापित: verified | |
आवेदक द्वारा हस्ताक्षरित और सत्यापित अंग्रेज़ी में
[ avedak dvara hastaksarit aur satyapit ]
