STTdI TIAIUI TIA iFI ffi}{d APPLICATION OF INCOME CERTIFICATE

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Affidavit by Guardian if Applicalrt is less then 18 years tf
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lncome Affidavit No.
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lncome Affidavit Date
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q<-{Irq t crffio errq (Annual lncome from Business)
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(Total I ncome Service/B usi ness/Agricultu re & other sou rces)
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(Applicant Father/Mother work in Non Government organisation)
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Full Details of lncome from permanent address of applicant or Guardian.

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(The above mentioned information submitted by me is true & correct of my knowledge and belief. I agree foi'iega!
consequences for any information found incorrect or untrue at the time.
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Applicant Signature

T{ffE (Receipt) 3ilTq qNHIUI EISI INCOME CERTIFICATE

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