Rinse — ng aa oT BT TT ator sea oer HET S fore Grater oreft ane aa A ara a Shorr weal wt Aah) (eke oh rs whet Pes ees we Re (Suet AED 2) ear GA ater we aT weeUTAN aT A AMAT Atesed TTA) ee ” a 2 Rie ar a ah : ceeeeeteeeeeee sgn | se | | (seer are | “ar Atested | | wad) | one Seacece pererrrererererrrcrery axe | | Ne SS cep 6 fin: ae / after “eft Reh = Reet / saree 1 eh forbes) a 8am ome /arrer oRar wore & ya fant € 2 e/a” 9 ear my sree aren & 2 at /aet $0 TERT FRR ene 11 trend hf oer trad aR (ore Roar a Reet Borat of tas) a2 fea ara Ow cen AR enfees are Roar aA Rest a ree fe vier we) 43 Ran S aeell o ore alts ona wr fart (Ra S ar Weel S aM wt Tere wi) El wee ar a [Re eee | aaa a welt ates ara (oat 1 2 __ 2 = [4 5 6 _|—__ 7 | srt ae 8 aa Gen Form Poem, eer, Set, Jase Fs ole) ‘eRe # ga aie ara 44 Sa eat Beare wae af wae ea Te wT wa ar | A edt wee / wee & fy Geta Rear A Te a ars org wet 1 nlf & weenere (eeerere a see eet afore: /TweftereR)RRS — & Serer wafer S MRT TAT TT (®ve 4 as . wae rg oo oorooeeorreereeceeereeeeeeeeeee nee fern or are" coe oe ee we ork € ud woe qe ear ween /aech & fe wf sf cette eo ee wt Bh ehh aor Te / TARY Ep TAA ARENA AMA TT na oo 8, FHS THA FAG TH ST HI BE ora waite ae BL (erenere /SeearAh Tare IYER) (ii) wee: ” e Se gaa a fret an aw er coo a we orkea ed emer de ward weer /aeh EH sets" co porod yg ‘Prant @ aA ver a /orMt €1 erat aRae alte oa... 2, HS TATA SAS TT GTA BT BNE wr Gita ag 1 (cera /seerear él Tare Fa gE) (secret eater er — ware HERA Rar eee / crore ions / rer me / mar / fore ofee aR /mT Baw / vere / sce / RPT eR / TROT HAR / TIGR ROME / wae AA / TCM Pers / SAH / eT Ai)Annexure-1 ‘The written declaration as given hereunder will be included at the end of the application form for getting Unemployment Allowance: I Daughter/ Wife of Shri -- ---resident of - —- Son/ ~--Age(date of birth)---~ Rajasthan, hereby declare that the informtion given above and in the enclosed documents is true to the -District- best of my knowledge and belief and nothing has been concealed therein. 1 am well aware of the fact that if the information given by me is proved falsé/riot true, i will have to face the punishment as per the law. Also, all the benefits availed by me shall be summarily withdrawn. Signature of applicant Affix recent photograph of the applicant with signaturearil are thar a wet ah got eet dah too UNH aa E/ ae x @) 8 Rr eshPert ot Pe au een a ahr evant a) ate Aer Sree fa art A shorsr & cea rs eel & men ee eee gre a Prey or wer ey QD $e mere & tere oh A Free we a wee A ane er Pree wel ee (i) ge ware & lore Grew Gh A Ree or orm ahora Gal fe PMGSY & MNREGA & fect cirt aret 2x <8 @) MNREGA 9 dha Rome eat a Hh Fe ater ar opr gt feta Qu) 8 ator eee: Porch mente antes ora ey are aud @ ater er ©) WM setter ane ator 2007 a aera wher eho 2000 ata aha roa wrorMa eT aoe zora) Fam are ae ys are | (i) Ferret feos wzare for an eivor arer orey are Rar aren Bh Wil) Rerre fewer omer ware eof a (vill) oh erent / Poh ats A Rerer et ar fore wea ar tommy (x) ot ar an area weeny a Pet A ora ator a aren Brag, aera a1 are OT wy ee et] G) RX afta 8A tke siflers 2 wrx earch A anfeaie ca ger OT 2007 an Se where shor 2000 ar a ahorar (area Aton eT aay 2012) ee are fear a) Sate echo va Aes ey) 8k) aw yw we OMT ae tae atorargane ora 8 Ri af ower chon oa arg ger ARG ee we MeO ee