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    Sourav Roy
    The document provides a model proforma for an income certificate for non-salaried parents or guardians. It includes fields for the applicant's name, father/guardian's name, permanent residence details, total annual family income from all sources, signature of certifying government officer, and their designation and address.

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    Form

    Uploaded by

    Sourav Roy
    70 views1 page
    The document provides a model proforma for an income certificate for non-salaried parents or guardians. It includes fields for the applicant's name, father/guardian's name, permanent residence details, total annual family income from all sources, signature of certifying government officer, and their designation and address.

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    The document provides a model proforma for an income certificate for non-salaried parents or guardians. It includes fields for the applicant's name, father/guardian's name, permanent residence details, total annual family income from all sources, signature of certifying government officer, and their designation and address.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    70 views1 page

    Form

    Uploaded by

    Sourav Roy
    The document provides a model proforma for an income certificate for non-salaried parents or guardians. It includes fields for the applicant's name, father/guardian's name, permanent residence details, total annual family income from all sources, signature of certifying government officer, and their designation and address.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    MODEL PROFORMA FOR INCOME CERTIFICATE

    (In case of non-salaried Parent/ Guardian)

    (To be given by any Govt. Officer not below the rank of Jt. B.D.O. in case of rural areas
    /Executive Officer in case of Municipality/Deputy Commissioner of Corporation/Group –A
    Gazetted Officer)

    I Certify to the best of my knowledge that Shri / Kumari /Smt. ______________________


    son/daughter/wife of Sri _______________________ resident of Village / Town : ________________
    P.S. ____________________ District : _________________ is known to me for
    ___________________ (Years/Months).

    His/Her father/Guardian/husband is a permanent resident of Village / town :


    ____________________ P.S. ________________ District _____________________ State
    __________________________

    The total annual family income from all sources of both the
    parents/Guardian/Husband/Student for the year 2020-2021 is Rs. ________________.

    ________________________________
    (Signature)
    Place :
    ________________________________
    Name (in Block Letters)
    Date :
    ________________________________
    (Designation)
    Full Address :
    ________________________________
    ________________________________
    ________________________________

    N. B. In case of salaried person/ guardian salary certificate of the appropriate authority has to be
    submitted.

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