1/9/24, 6:25 PM Acknowledgement Receipt

GOVERNMENT OF ASSAM
Jorhat District
Acknowledgement Receipt
Circle Officer,Teok Circle
Application Number SSDG/ED/INC/9778960 Designated Officer
Office
Applicant's Name MILAP SAHU Service Name INCOME CERTIFICATE
Mobile Number 9365406452 Status Submitted
Receipt Date 09/01/2024 User Instruction Further communication will be
sent to the mobile number
provided
Proposed Delivery Date Within 10 working days from 09/01/2024

Fees Paid:
No. of Pages (in No.s) Amount (in Rs.) Total (in Rs.)
Statutory Charge NA NA 0.00
Service Charge NA NA 30
Printing Charge 04 10 40
Scanning Charge 07 5 35
TOTAL NA NA 105.0

This is a computer generated receipt and therefore needs no physical PFC/CSC Id:
signature AS277444770019

https://eforms.assam.gov.in/SPP/homePage.do?actionFlag=paymentGatewayApnaCSC&bridgeResponseMessage=csc_txn=400918232886279… 1/1