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INDEMNITY BOND

I, M. VANISRI, WFE OF SRI. M. KRISHNA REDDY, aged about 50 years,

Occupation: House Wife, Resident of Plot No_. 76, in Survey Nos. 149 and 150,
Boduppal, Medchal-Malkajgiri District., do hereby solemnly affirm and state on
oath that:-

1. That I am the deponent herein and well acquainted with the facts of this
declaration stated below:

2. I state that I am the absolute owner of the possessor of the Plot No. 76, in
Survey Nos. 149 and 150, admeasuring 224 Sq.Yds. , or 187.26 Sq.Mtrs.,
Situated at Boduppal , Boduppal Municipality, Medipally Manda!, Medchal-
Malkajgiri District.

I further submit that I am applying New Water Connection for my above said
- - lr. premises
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I~\' ATTESTED

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3. I submit that I am in need Water Tap Connection to the above said House
and I am applying in my name to the concerned authorities HMWs & SB
Division-19 of Boduppal Section Sub Division- I, Medchal-Malkajgiri District
to kindly consider and my application grant for water Tap Connection n.nd
sanction as early as possible.

4. I am filling indemnity before the concerned authorities HMWS & SB

Division-19 of Boduppal Section Sub Division-, HMWS & SB, Medchal-
Malkajgiri District to kindly consider my application grant for water tap
connection and sanction as early as possible.

That the facts stated above are true and correct to the best of knowledge uncJ
belief if any false statements are found in the declaration I may be
prosecuted.

Hence this Affidavit,

Sworn and signed before me
On this 10 th day of May 2019.
DEPONENT

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G. VIJAYA AR.
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