INDIA NON JUDICIAL

Government of NationalCapital Territory of Delhi

e-Stamp
Certificate No.
Iysued Date IN-DL46408896421798W
19-Feb-2024 05:21 PM
AucOunt Reterence
IMPACC (IV)/ dl1022803/ SHAKARPUR/ DL-DLH
Unique Doc. Reference
casea Dy SUBIN-DLDL102280354216281603517W
SANTOSHCHOUDHARY
t Docurment
Article 4 Affidavit
Not Applicabte
, Price Rs )

SANTOSH CHOUDHARY
Not Applicable
SANTOSH CHOUDHARY
(Ten oniy)

OIA
Avind Mishra
Regd. No.:21423
Ar:glhi

AOTAR
 (2)

AFFIDAVIT

ISANTOSH CHOUDHARY R/O I- 288ANANDVAS SHAKURPUR JJ COLONY DELHI -

110034 do hereby solemnly declare and affirm as under :

That Iam resident of Delhi have submitted the application for issuance of
income &Asset Certificate of my Daughter KUMARI VARSHA for EWS category
reservation before the competent Authority.
That Iam father of KUMARI VARSHAwhose photograph is attested below to
Economically weaker Section, since the gross annual income (covered from all
source i.e salary, agricultural, business, profession, etc.) of his/her "family" is
below Rs. 8 Lakh (Rupees Eight Lakh Only) for the financial year 2022-2023
5acres of agricultural land and above.

Residential flat of 1000sq. ft and above.

Residential plot of 100sq. Yards and above in notified municipalities.
Residential plot of 200sq. Yards and above in areas in other than the
notifiedmunicipalities.
That Ifulfill all the eligibility criteriop as prescribe in the
31.01.2019.
Dopt OM dated

That Ibelong to BRAHMAN (SHANDILYA) Caste.

That mycaste/sub caste is not covered in any of the
list of SCs/STs and OBCs
(Central Govt ) as prescribe/notified by competent Authority.
That my caste/sub caste is not covered in any of
list of
(Central Govt)as prescribed/notified by competent SCs/STs and OBCs
AM/Centre mygross annual income of my family from Authority and as state
8.0 lakhs for the financial yea all sources is below Rs.
2022,2023as per the definition of family
prescribed by Dopt OM Nø3603971/:Y201)Estt (Res) dated
31.01.2019.
That the income of family?rom al:lishra
ourcesas çited in my application for issuance
e\ A plhi
 Asset Certificate for EWS
Category.
That Details fo all kind assets as cited by me
in
respect of my family i.e the
application form of issuance of EWS Category certificate is correct as per the
eligibility criterion prescribed for the purpose of
Certificate for EWS Category. issuance of income &Asset
That allthe information furnished by me in
the application from and the
supporting documents before the issuing Authority for obtaining EWS
Certificate is correct.
That no material information/facts has been
hidden or
criterion prescribed for issuance of income &Assets suppressed qua the
Category by the Govt Of India as per their Om no - Certificate EWS
for
(Res) dated 31.01.2019. 360391/1P/2019/Estt

(3)
Ihereby declare that the information given above and in
the enclosed
documents is true to the best of my knowledge and belief and nothing has
been concealed therein Iam well aware of the fact that if the
given by me is proved false / not true, Iwill have to face the
information
punishment for
perjury cheating and forgery amongstother ofence a^ per law.
That Ihave not filed ITR. My wifeGAYATRI DEVLis touse wife she
has not
Source of Income

Thl- 288 ANANDVAS SHAKURPUR JJ COLONY DELHI - 110034 and

an Rental person. That I
That mykotaliahily lnome from all source fs Rs
which KsS000/- per honth rent. 12000/- per month in
Thatít is my tru¿ and correct statement.

|he Avnd
gu No.
t.'sha
21423
Ar:ht
DEPONENT
ATTEAED
NOTARYPUBLIC

19 FER 2024
VERIFICATION:
Verified at Delhi on 17.02.2024 the contents in this affidavit are true
andcorrect to the best of my knowledge and belief.

DEPONENT

vnd Mishra
Rugl. No.: 21423
Å::lhi

NOTAR^pUALHC
DELHI

1 FEB 2024