Professional Documents
Culture Documents
1. Certified that I am occupying rental house and paying monthly rent of Rs .………….….(Rupees ……
………………………………..) per month.
2. Certified that I am paying a sum of Rs …………………….. (Rupees …………………………
… …………….) towards LIC premium and Policies are kept alive. Policy No…
……………..
3 .Certified that the Medical allowance paid for meeting cost of medical expended are fully incurred by me for
the same.
4. Certified that all the figures and particulars given above are true to the best of my knowledge and belief..
Total
Particulars of NSC/NSS/UTI/etc
POST OFFICE ISSUE DATE NO.. NSC/NSS NUMBER AMOUNT
Signature of the
Drawing Officer