INCOME_CERTIFICATE_FORMAT

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ifjf'k"B & vkbZ

vk; dk ?kks"k.kk i=
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
vkosnd lEcU/kh vko';d lwpuk ¼oSdfYid fcUnq dks ls p;u djs½
izkFkhZ dk QksVks
1- izkFkhZ dk uke*
¼ikliksVZ lkbZt½
2- firk dk uke*
¼mRrjnk;h O;fDr ls
3- fuokl LFkku dk iw.kZ irk* QksVks lR;kfir djkosa½
¼d½ orZeku irk %&
¼[k½ LFkkbZ irk %&

4- xk¡o@'kgj* rglhy* ftyk*


5- tUe fnukad% ‐‐‐‐‐/‐‐‐‐‐/‐‐‐‐‐‐‐‐‐‐ tUe LFkku mez
6- fyax* iq:"k efgyk oSokfgd fLFkfr % fookfgr vfookfgr
7- /keZ ¼vkosnd½*: tkfr* % mi tkfr*

8- D;k vki@vkidk ifjokj jktLFkku ds ewy fuoklh gS\ gk¡ ugha

9- D;k vki vk;dj nkrk gSa*\ gk¡ ugha


10- eksckbZy uEcj
11- isu dkMZ gksus dh n'kk esa isu dkMZ uEcj ----------------------------------------- ,oa vk;dj foHkkx dh fjVuZ dh
v|ru izfr layXu djsaA
12- fVu UkEcj gksus dh n'kk esa fVu uEcj ------------------------------------------------ ,oa okf.kfT;d dj foHkkx dh fjVuZ dh
v|ru izfr layXu djsa A
13- ifjokj ds lnL; o mudh okf"kZd vk; dk fooj.k
Ø-la- lnL; dk uke mez lEcU/k eqf[k;k ls vk;@O;olk; o okf"kZd vk; ¼#i;s½
mldh izd`fr

vU; L=ksr ls vk; ¼;Fkk edku fdjk;k] C;kt] isa'ku] 'ks;j] E;wpqvy Q.M½------------------------
14- mDr rF;ksa ds lR;kiu Lo:i nks mÙkjnk;h O;fDr;ksa dh lk{; izek.k i= ,oa Lo;a dk 'kiFk&i=
layXu gSA
eSa rlnhd djrk@djrh gwa fd mijksDr fooj.k esjh tkudkjh ,oa fo'okl ds vuqlkj lgh gSA
fnukad% ---------@---------@------------------
LFkku ------------------------------ izkFkhZ ds gLrk{kj
ifjf'k"B & ts
'kiFk i=

izkFkhZ dk QksVks

eS----------------------------------------- iq=@iq=h@iRuh Jh --------mez---------------------------------fuoklh--------------------------------


rglhy----------------------ftyk----------------------jktLFkku 'kiFk iwwoZd fuEu c;ku djrk@djrh gw¡ %&

1- ;g fd eq>s o esjs ifjokj dh okf"kZd vk; ¼o"kZ--------------------½ ds izek.k Lo:i esa mn~/kks"k.kk djuh gS A
2- ;g fd esjs o esjs ifjokj dh okf"kZd vk; ¼o"kZ--------------------½ ds laca/k esa rF;kRed tkudkjh
fuEukuqlkj gS%&
Ø-la- ifjokj ds lnL; dk uke O;olk; izkFkhZ ls lEcU/k okf"kZd&vk; #i;s esa

;ksx ---------------------------
3- ;g fd esjs ifjokj ds lnL;ksa }kjk /kkfjr Hkwfe@o uks'kuy 'ks;j ds /kkfjr dqy Hkwfe dk fooj.k bl
izdkj gS%&
xk¡o dk uke rglhy [kljk jdck flafpr@vflafpr okf"kZd vk;
uEcj

4- ;g fd esjs ifjokj esa vU; L=ksrkas ls vk; fuEu izdkj gS %&


Ø-la- vk; ds vU; L=ksr okf"kZd vk;
¼;Fkk Hkou lEifr fdjk;k] C;kt] isa'ku] 'ks;j] E;wpqvy
Q.M vkfn ls vk;½

dqy leLr okf"kZd vk; pj.k ¼iSjk½ la- 2]3]4 dk ;ksx


5- ;g gS fd eSa 'kiFk iwoZd ?kksf"kr djrk@djrh gw¡ fd mijksDrkuqlkj esjs ifjokj dh dqy leLr
okf"kZd vk;------------------------------ :i;s v{kjs------------------------:i;s gS A
6- eSa 'kiFk iwoZd dFku djrk @djrh gw¡ fd esjs o esjs ifjokj ds fdlh lnL; us foxr esa mDr
vafdr okf"kZd vk; ls fHkUu vk; fdlh iz;kstukFkZ ugha n'kkZ;h gS rFkk u gh bl ckcr dksbZ vk;
izek.k i= izkIr fd;k gS A
7- eSa 'kiFk iwoZd dFku djrk @djrh gw¡ fd ;g rF; esjh tkudkjh esa gS fd bl 'kiFk i= esa vafdr
rF; ,oa 'kiFk iwoZd mn~?kksf"kr okf"kZd vk; dk xyr vFkok fEkF;k gksuk Hkkjrh; n.M lafgrk ds
vUrxZr n.Muh; vijk/k gS A

gLrk{kj 'kiFk xzfgrk

lR;kiu

eSa 'kiFkiwod
Z ?kks"k.kk djrk@djrh gw¡ fd mijksDr 'kiFk i= dh pj.k la[;k 1 ls 7 esjh futh
tkudkjh ls fy[kk;k x;k gS tks lgh gSA blesa dksbZ rF; ugha Nqik;k gS vkSj u gh vlR; fy[kk gSA
bZ'oj lk{kh gSA

gLrk{kj 'kiFk xzfgrk

gLrk{kj igpkudrkZ
1-------------------------------------
2-----------------------------------
¼uke] irk LFkku o fnuakd lfgr½

izek.khdj.k

mijksDr 'kiFkdrkZ uke-------------------------------------- firk dk uke-------------------------tkfr---------------- mez----------------


fuoklh---------------------------------------------------------------------------------------------------- us esjs le{k mifLFkr gksdj 'kiFkiwoZd
mDrkuqlkj vfHkdFku fd;k gS] ftls izek.khd`r fd;k tkrk gS A izkFkhZ dh igpku--------------------- ds }kjk
dh xbZ gSA

LFkku gLrk{kj
fnukad izek.khdj.k vf/kdkjh ¼dk;Zikyd eftLVªsV@uksVsjh ifCyd½
dk uke o in e; lhy
ifjf'k"B & ds
mRrjnk;h O;fDr;ksa ds lk{; izek.k i=
¼i½ xokg* :
eSa iq=@iq=h Jh
fuoklh
foHkkx dk uke in
ij dk;Zjr gwa ,oa 'kiFk iwoZd c;ku djrk gwa fd]
izkFkhZ@izkFkhZ;k iq=@iq=h Jh
fuoklh
dks Hkyh izdkj ls tkurk gwa budh okf"kZd vk; #i;s gS] blds vykok
izkFkhZ ds ikl vk; dk dksbZ vU; L=ksr ugha gSA

¼gLrk{kj@mÙkjnk;h xokg½
uke-------------------------------- fnukad ------------------- LFkku ----------------
¼ii½ xokg* :
eSa iq=@iq=h Jh
fuoklh
foHkkx dk uke in
ij dk;Zjr gwa ,oa 'kiFk iwoZd c;ku djrk gwa fd]
izkFkhZ@izkFkhZ;k iq=@iq=h Jh
fuoklh
dks Hkyh izdkj ls tkurk gwa budh okf"kZd vk; #i;s gS] blds vykok
izkFkhZ ds ikl vk; dk dksbZ vU; L=ksr ugha gSA
¼gLrk{kj@mÙkjnk;h xokg½
uke-------------------------------- fnukad ------------------- LFkku ----------------

uksV %& vkosnd dh uohure QksVks ftls vkosnu i= ij fn;s x;s LFkku ij fpidk,a ¼LVsiy ugha djuk gS½ rFkk mls vfHk'ka"kk djus
okys mÙkjnk;h O;fDr ls lR;kfir djkoasA mÙkjnk;h O;fDr ;Fkk & laln lnL;@fo/kku lHkk lnL;@jktif=r vf/kdkjh@ftyk
izeq[k@iz/kku@ftyk ifj"kn~ lnL;@xzke lsod@iVokjh@egkikSj@uxj fuxe lnL;@uxjikfydk v/;{k@Ldwy ds
gsMekLVj@lEcfU/kr ih-,p-lh@lh-,p-lh- ds fpfdRld@ch-Mh-vks-@lgk;d vfHk;Urk

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