This document is a specimen verification certificate that can be issued by chairmen of apex business organizations to verify identity details for passport applications. The certificate contains fields for the applicant's photo, personal details like date of birth and addresses, as well as a statement from the issuing officer certifying the applicant's moral character and that provisions of Section 6(2) of the Passports Act, 1967 do not apply. Notes provide instructions on attesting the photo, listing previous addresses if applicable, and penalties for incorrect verification.