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11/4 12020
GOVERNENT OF KARNATAKA
REVENUE DEPARTMENT
FORM-E
Office f Tahs1iedar
Lingsogur Taluk.
Date 94/IV2920
His/Her Father, Mother/Guardians Gross Annual Income does not exceed Rs.8.00 lakhs (Rs. Eight Lakhs)
OR
His/her parents/Guardian/husband/wife is not holding 10 units of Agricultural land or such of those not holding more
the Karnataka Land Refoms Act 1961.
than 20 acres
of plantation land as specified in
Certified that Kumari. BIBI ZAINAB D/o Sri. GOODA SAB residing at AT.HUTTI, TQ.LINGSUGUR ,
DT.RAICHUR, 584115 of Hatti C.T. ( Hatti C.T. ) Village/Ward, Guragunta Hobli, Lingsugur Taluk,
Raichur District belongs to caste Muslim of Category I I (B) of the Backward Classes and certified that
his/her family annual income is Rs. 12000/-( Rs. twelve thousand only.
This certificate is valid for five year.
Date:04/11/2020
Note: This is a digitally signed certif+cate and does not require manual
signature.
Please, verify authenticity of this certificate by visiting
www.nadakacheri.karnataka.gov.in & entering certificate Number or by
SMSing KA NK <certificate Number> to 161.
Name: Chamaraj Patil
Tahsildar
Lingsugur Taluk
Raichur District