OFFICE OF THE CAMP COMMANDANT JAGTI (C)

JAMMU

(To Whom It May Concern)

Certified that Sh. / Smt. __________________________________ S/o,

D/o, W/o______________________R/o ________________________,
Tehsil_____________District________________ and A/p ____________
____________________________ stands registered in the Ration Card
of his/her father/mother namely _______________________________
S/o, W/o ________________ at S. No. _______________under Ration
Card No. ________________ D. Form No. _______________________
for ___________souls under Relief category.

The monthly income of the Family from all sources is _______________

per month in figures ____________________________ and the annual
income is Rs. _____________________from all souls plus free ration
for 4 souls and the Certificate is being issued for obtaining EWS
Certificate.

No. _
______________
Date: