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DECLARATION

I, ----------------------------------------------------------------- (Name) ------------------------------------------------

----------------------------------------------------------------------- (Designation and office) declare as under:

a) That I reside in a hired house located at ----------------------------------------------------------------

----------------------------------------------------------------------------------------- (Full postal


address),

belonging to Shri/Smt. ---------------------------------------------------------------------------(Name)

and I pay him Rs. ---------------------------------------------------------------------------------------------

------------------------------------------ (Amount of rent in words and figures) as rent per month.

I have been living in this house continuously from-------------------------------- (Date).

b) No other person other than my family resides/shares the same accommodation with me.

c) It is further certified that no other residential accommodation is owned by me here at the


place of my posting.

Signature:

Name:

SR No:

Designation:

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