Income Certificate

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FORM No_ I

j) (See Hule
GOVEHNMENT OF ODISHA
Off ice o{ the Taltasrki:rr Gania
It,liscel laneoLrs C ertili cate Carse N o E- R ES i202213996 1 4
RESIDENT CEHTIFICATE

Thts ts to certify that STiRANAJITMAHAKHUDA sorr of Snrt SUBAStNt MAHAKHUDA and Shri
TRINATH MAHAKHUDA. is a nativei'permanent resrdent of the ciistrict of NAYAGAHH in the state of
Odisha and he,' his family is presently residrng at Village,'Tor,vn Malatiput P.S. GANIA Tahasil Gania in
the district of NAYAGAHH in the state of Odisha tor 25 yearis) & 0S month(s;.

Dipil;.:llv siSr;u bi BAIiALTAL' PAR:DA


D ..t 2l'i2.r: z: i'b, zd.-: .[,: rlr
SignatLrre of lhe Revenue Off icer
22t04,'2022

"" This is a Digitarlly Signed Docunient And Does Not Fequire Stsnalture "-

NOTE
{i) l1 is a digitally signed electronlca}ly generated cerlificiite and thorelore needs no irk signerl sigrratr-rre,
{it) This Certilicale is issued as per section 4.5.& E of lrt{orrnatrorr Techrrology Act 2000 and ils subseq1rent arnerrdrrents in
2008 and as per Flevertue & Disaster l,{ar:ag1e n.cnt Departmeilt Notilicalion nunrbe r IMU i3,'i0 42SI.rR&DM
Iiiii Fot any Ouery or Verilication , Agrl ncy r'Dopartnrenl ,'Officc rnay visit hllps.,icciistrict.odisha.gov rn
(ivi Tampering of this Cerlificate will attract penal action.

leferenle Nr. E-Rf Si202213Ei36'14 To l'ier,v: .ilttrs.iledistrict.oCisha.!o',,.irlttY3oic1D7'16823r1 Token Nc. D71G8234

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