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AFFIDAVIT

I, GALLA REPUBLIC RANI, W/o. G. VENKATESWARA RAO, R/o.D.No.4/157,


Surampalli (V), Gannavaram (M), Krishna Dist-521212, do hereby solemnly affirm &
state on oath as follows:-

I hereby declare that I am the owner of the house bearing of D.No. 4/157, Surampalli (V),
Gannavaram (M), Krishna Dist-521212.

I further submit that the One room at First Floor in my house is given at free of rent for
the location of society which I am the president under the Name & Style of “ AMMA
PREMASHRAM” in the interest of the Society. I am not collecting either directly or
indirectly any rent from the said Society. Hence the Society may be registered.

I declare that the particulars stated above are true and nothing has been concealed or
hidden therein.

DEPONENT

Solemnly affirmed and signed before me at Vijayawada on this Day of Feb’2014

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