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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 \e

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