FORM No.
IlI
(See Rule 3)
GOVERNMENT OF ODISHA
Office of the Tahasildar Anandapur
Miscellaneous Certificate Case No E-INCI2024/1024712
INCOME CERTIFICATE
(Valid for the Financial Year 2024-2025)
of SmtCHAMPA KALAH and Shri
KALA KALAH, is a
certify that Shri KANHEI KALAH Son presently residing
This is to in the state of Odisha and he or his family is state of Odisha
native/permanent resident of the district of KENDUJHAR the
Tahasil Anandapur in the district of KENDUJHARin below.
at Village/Town Dhabani P.SANANDAPUR 100000.00 (Rupees One Lakh) only from the sources specified
has an annual family income of Rs.
Income(ín
Source Rs.)
No.
1
Agriculture (including plantation, horticulture, dairyíng, poultry, 40000.00
fisheries etc.)
2 Salary/ Wages/ Renumeration etc.
3 Trade/ Business/ Profession (Please Specify)
60000.00
4 Other Sources(Please Specify)
Total 100000.00
Digitally signed by MANOJ KERKETTA
Date 20-06-2024 1638:22 PM
Signature of the Revenue
Officer
20/06/2024
This is a Digitally Signed Document And Does Not Require Signature
NOTE
) tis a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
() This Certificate is issued as per section 4, 5,& 6 of Information Technology Act 2000and its subsequent amendments
in 2008 and as per Revenue &Disaster Management Department Notification number IMU-13/10-4251/R&DM.
(iü) For any Query or Verification , Agency /Department / Office may visit https:/ledistrict.odisha.gov.in
(iv) Tarmpering of this Certificate will attract penal action.
Reference No:ENCI2024/1024712 To View: https:/edistrict.odisha.gov.in/UzxwKe/9A3735DB Token No: 9A3735DB
