Annexure-1
The written declaration as given hereunder will be included at the
end of the application form for getting Unemployment Allowance:
yp eee Tl Yada nos ssc | eaey
Daughter/ Wife of Shri -AShok Kumar Yadepoctaate of wirehy22 YS ements
02 Jo6 [1936 —cesident of ~V-R0.=.-Ragaucas..lehséd...Rfstion gh. Roca
Prv- 303403 of pus. Rajasthan, hereby dectare that
the informtion given above and in the enclosed documents is truc to the
best of my knowledge and belief and nothing has been concealed therein.
-District,
I am well aware of the fact that if the information given by me is proved
false/niot true, I will have to face the punishment as per the law. Also, all
the benefits availed by me shall be summarily withdrawn.
f ‘ 8 Yadav
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