Application Form For Claiming Unemployment Allowance Page 4
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1
2
3
4That my permanent place of resident is in Punjab and that I have been
residing in Chandigarh for the last _________________ months/ years.
9.
That I had no income of my own and the income of my family from all
sources did not exceed Rs. 1000/- p.m. during the period of my claim as mentioned in
Item-2 above (The term family includes parents, spouse and dependent children).
10.
That I was within the age of 17 to 40 years during the period for which
allowance is being claimed.
11.
That I have not claimed unemployment allowance from Punjab
Government through any other sources or agency nor shall I claim it from any other
source under the Punjab Government.
DEPONENT
Place:
Date:
Verified that the contents of the above affidavit are correct and that
nothing has been concealed therein.
DEPONENT
ATTESTED
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