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Income Certificate Self-Declaration Form

Karmi Devi, a resident of Bilaspur, declares her family income does not exceed Rs. 2.00 Lakhs annually. The family consists of Karmi Devi and her two sons, Anmol Kumar and Harsh Kumar. The declaration is verified as true to the best of her knowledge.

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1K views1 page

Income Certificate Self-Declaration Form

Karmi Devi, a resident of Bilaspur, declares her family income does not exceed Rs. 2.00 Lakhs annually. The family consists of Karmi Devi and her two sons, Anmol Kumar and Harsh Kumar. The declaration is verified as true to the best of her knowledge.

Uploaded by

rohitrajput85807
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SELF-DECLARATION FOR INCOME CERTIFICATE

I KARMI DEVI w/o Late Sh. BALWANT SINGH, Age 40 y; resident of Vill. Johar Kalsan, P.O.
Malraon, Sub-Teh. Kalol, Distt. Bilaspur (H.P.),

Declare that my family income consisting of the following members whose particulars are as given
under:
Sr. No. Name Relationship

1. KARMI DEVI Self


2. ANMOL KUMAR Son
3. HARSH KUMAR Son

I Karmi Devi, herby declares that the total income of my family from all the sources is not
exceedingly more than Rs. 2.00 Lakhs annually.

Place: KALOL

Date: 06/05/2025 Deponent

Verification:
I Karmi Devi, solemnly acknowledges and declare that the information provided by me above is
genuine & true to best of my knowledge.

Place: KALOL

Date: 06/05/2025 Deponent

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