Application Form For A Certificate For Eligibility Page 4
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5g) Income/Wealth
:
i) Annual family income from all sources
(excluding salaries and income from
agricultural land)
:
ii) Whether tax payer (yes/No) (if yes
copy of the last three year return
be furnished)
iii) Whether covered in wealth tax act (yes/no
if so furnish details)
h) Any other remarks
:
I certify that the above said particulars are true to the best of my knowledge and belief and that I
do not belong to the creamy layer of OBCs and an eligible to be considered for post reserved for
OBCs. In the event of any information being found false or incorrect or ineligibility being detected
before or after the selection, I understand that my candidature appointment is liable to be
cancelled and I shall be liable to such further action as may be provided under the law and/or
rules.
Place:
Yours faithfully,
Date:
(Signature of the candidate)
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