FORM No. tl ‘se le?) GOVERNMENT OF ODISHA Office of the Tahasildar Nuagad Miscollaneous Certificate Case No E-INC/2021/667645 INCOME CERTIFICATE (Walid for the Financial Year 2021-2022) ‘This is to cerlly that ShiKURA PUJARI son cf Sm:LATE GANG! PUJARI 2nd StriL ATE RUPA PUJARL, is a rativeipermancet restdent of tho distict of GAJAPATI in the state ofOalsha and he or his family i presently residing at Villagetown Palepur PS R UDAVAGIRI Tanasii Nuagad in the dlsirex GAJAPATI of in the siete of Odsha has an ‘annual fern income of Rs, 0000.00 (Rupees Fifty Thousand} only rom the sources sperilied below. ‘Source, ee No. Rs.) 1 ER ST TRIE TRG ORT | capo alan Wages! Ranumeraton a To @ | Trade! Business! Protassion (Please Specity) 0.00 | foie Saroeeeae ST 3000806 fotal_| 5000000 | Dili ignod ny AKULA MALLOC ‘ae20zt oa 130202 16-0530 Signature of the Revenue Officer 13/09/2021 ea Day Sis Ta A or Na owe Seas = NOTE () tis. digtaly signed electronically genoveted cartficato and therefore noods no Ink-s:gnec signature. {@) ‘This Gotttcate is issued as per section 4, 6,86 of Information Technology Act 2000 and is subsequent amendments in ‘2008 and as per Revenue & Disaster Maregement Department Notrication number IMU-13/10-#251/R&DM. i) For any Query or Verification , Agency /Deperiment / Office may visit htipe://edistrict.odisha.gov.ir/ (iv) Tampering of this Corticate will attract penal action. eterence No: FINCI202 /GE7845 To View: hpsileistel easha goy in¥AVOPEISZBSABDC Toten No: SSEBABDE