I, Dulal Kumbhakar S/o Bhutnath Kumbhakar , by nationality -Indian, Resident of
Village - Bara Sushni Rasiknagar Post office - Boram Ps-Boram , Patamda , Dist-East
Singhbhum, State of Jharkhand, do hereby solemnly affirm and declare as follows:
1. That I am an Indian citizen by birth.
2. That I am permanent residing above mentioned address.
3. That my annual income is Rs- % 70,000/- only through Mazdoori and all
other Source.
That there is no any other source of income, except the income mentioned
4:
5 8 above.
5. That I swear this affidavit to confirm the above facts and to obtain an
Income-Certificate in my name for my needful purpose.
Identified by: Verification
Sri- J2 eam The statements made above are true to
Advocate Jamshedpur the best of my knowledge, information
and belief and I sign this today at J.S.R
Durlal Kawblatton
Deponent
‘The deponent has signed in my presence.
la CNawaal
Adveeat:
NOTARY PUBLIC s Advocatel® |? or
ys East Singhbhum, sig
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