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Model Proforma For Income Certificate

This document provides a model pro forma or template for an income certificate for non-salaried parents or guardians. The certificate is to be issued by a government officer of a minimum rank. It includes fields for the name and address of the student and their father/guardian. It also includes a field to report the total annual family income from all sources for the parents/guardian/husband/student for the year 2018-2019. The certificate requires the signature, name, designation and full address of the issuing officer.

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11K views1 page

Model Proforma For Income Certificate

This document provides a model pro forma or template for an income certificate for non-salaried parents or guardians. The certificate is to be issued by a government officer of a minimum rank. It includes fields for the name and address of the student and their father/guardian. It also includes a field to report the total annual family income from all sources for the parents/guardian/husband/student for the year 2018-2019. The certificate requires the signature, name, designation and full address of the issuing officer.

Uploaded by

abc001
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

MODEL PROFORMA FOR INCOME CERTIFICATE

(In case of non-salaried Parent/Guardian*)

(To be given by any Govt. Officer not below the rank of Jt. B.D.O. in
case of rural areas/ Executive Officer in case of Municipality/ Deputy
Commissioner in case of Corporation)

I certify to the best of my knowledge that Shri/Kumari/Smt.


______________________ son/daughter/wife of Sri
_________________________________________________ resident of
Village/ Town : ___________________ P.S. ________________________
District : ________________ is known to me for _____ (Years/ Months).

His/Her father/ Guardian/Husband is a permanent resident of Village/ Town


_______ P.S. __________________ District __________________ State
_______________________ .

The total annual family income from all sources of both the Parents/
Guardian/ Husband/ Student for the year 2018-2019 is Rs.
__________________ .

________________________
Place: (Signature)

Date : ________________________

Name ( in Block Letters )

________________________
( Designation)

Full Address :
________________________

________________________

N.B. In Case of Salaried Parents/ Guardian Salary Certificate of the appropriate


authority has to be submitted.

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