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I,I.FOFZMNo. Ill

(See Ffulo 3)
GOVEF]NMENT OF ODISHA
Office of the Tahasildar Kablsuryanagar
Miscellaneous Certificate Case No E-INC/2022/1467862
INCOME CERTIFICATE
(Valid for the Financial Year 2022-2o23 )

This is to certify that Shr'iBALM[KI NAHAK son of SmtKUKUMA NAHAK and ShripANDnative/permanentresidentofthedistrictofGANJAMinthestateofodlshaandheorhisfamilyisprVil age/townBarldaP.SKABISURYANAGAl]TahasilKablsuryanagarinthedistrictGANJAMofinthasanannualfamilyincomeofRs.30000.00(flupeesThlrtyThousand)onlyfromthesourcesspecitie lT NAHAK, is aesentlyresidingathestateofOdishadbelow.

SINo.1 Income(InRs.)
Source

gricuiture (inclucling plantation, norticulture, dalrylng, poultry, 10000.00

isheries etc.)

2 Salary/ Wages/ Plenumeration etc.

3 rade/ Business/ Profession (Please Specify)

20000.00
4 ther Sources(Please Specify)
Total 30000.00

E]I,E] E
Dkyltally 9©ned by Byomakesr` Pro an
Date2022.1 1 .27 1 1 :34:46 nd530
Signatur e of the Revenue Officer
- 27/11/2022
I

**** This is a Digitally Signed Document And Does Not Ftequire Sig nature ****
I

NOTE
(i) lt is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
(ii) This Certificate is issued as per section 4, 5,& 6 of Information Technology Act 2000 and its subsequent amendments in
2008 and as par Revenue & Disaster Management Department Notifieat.Ion number IMU-13/10-4251 /Fl&DM.
(iii)ForanyQueryorVerification,Agency/Department/Officemayvisithttps://edistrict.odisha.gov.in/
(iv) Tampering of this Certificate will attract penal action,

Rof®rence No: E-lNC/2022/1467862 To View: https://edistrict.odisha.gov.in/t/Rl8Tc/E96A61 AB Token No: E96A61 AB