FORM No. Ill
(ee Aue 3
GOVERNMENT OF ODISHA
Office of the Tahasildar Badasahi
Miscellaneous Certificate Case No E-INC/2022/690765
INCOME CERTIFICATE
(Valid for the Financial Year 2022-2023 )
This Is to certify that SmtMALATI SOREN daughter of SmtJAUNA CHAPEYAR and Shri GURAI CHAPEYAR, Wio
Late CHHOTRAY SOREN is a nativofpormanont resident of the distil of MAYURBHANG In the state of Odlaha and sho/
RASA eee aan tfc Unchaball: PS BADASAHITahasi! Badasahi in the district
in tho stato of Odiaha has frit 65000
cciy rom nal volaeeasseaieg beri ‘an annual family \noome os, 66000,00 (Rupees Sixty Five Thousand)
[yet 20)
Boy ned RAGE uO
te202207 1908-1370 9090
Signature of the Revenue Officer
15/07/2022
This is a Digitaly Sianod Documont And Doos Not Require Siqnature
NOTE
i itis a dightally signed electronically generated cerlfcate and therefore needs no ink-signed signal
{i) This Cerificate is Issued as per section 4, 5,8 6 of Information Tachnology Act 2000 and its subsequent amendments in
2008 and as per Revenue & Disaster Managoment Departmont Notification number {MU:13/10-4251/ ROM.
{ii) For any Query or Verification , Agency /Departmont / Otice may visit htips:/edistict.odisha.gov.in/
{iv) Tampering of this Cortificate will attract penal action
Reference No: E-INC/20221690785 To View: Nips:/editic odisha gov InV4NIScIT7AF1EED Tokon No: OTAFIEED