Saksham Yojana Haryana Income Certificate Offline Form
To
The
S.D.M
Samalkha
Subject:- Application
for issue me a Income Certificate
R/Sir,
I beg to say that I am a permanent resident of .......Village/City
Name.......... Teh. (Example:- Samalkha).... Distt. .......(Example:-
Panipat)....... That Student
Name. my real son/daughter/wife.
That total income of me and or my family from all resources is Rs. 90,000 /-
per annum. That my son needs this Income Certificate for Saksham Yojana Purpose
only.
So please issue me this
certificate.
Thanking You.
Yours
faithfully
Family
Member Full Address
Under Taking / Self Attested
I Home Leader Name Full Address Teh.- Samalkha Distt. Panipat do hereby
solemnly affirm and declare as under:-
1.
That I am a
citizen of India.
2.
That the
deponent is permanent resident of above noted address
since----------------years/Since birth.
3.
That
Student Name real son/daughter.
4.
That my
total family income from all sources is less than Rs. 90,000/- per annuam.
5.
That the
deponent family member not government Service.
6.
That my son
needs this Income Certificate for Saksham Yojana Purpose only.
Deponent
Verification:-
Verified that the contents above are true and correct to the best of my
knowledge and belief and nothing has been concealed therein.
Deponent
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