GOVERNMENT OF ( NAME OF STATE)

CERTIFICATE

This is to certify that YOUR NAME S/O FATHER’S NAME is residing at COMPLETE HOME ADDRESS
PIN:XXXXX has the below mentioned property , bank balance , and family income.

(1) FAMILY COMPOSITION OF 2023 AND INCOME DETAILS OF

2021 AND 2022:-
SR.NO. NAME OF AGE RELATIONSHI OCCUPATIO GROSS GROSS
MEMEBER P N INCOME YEAR
FOR YEAR INCOME
2022 FOR 2023
1. FATHER’S XX SELF XX INR INR
NAME XXXXX/- XXXXX/-
AND EUR- AND EUR-
XXX XXX
APROX. APROX.
2. MOTHER’S XX MOTHER XX NIL NIL
NAME
3. YOUR XX SON XX NIL NIL
NAME
4. SIBLINGS XX DAUGHTER XX NIL NIL

1) That the total gross income of year 2021 was equal to …….. Approx Applying the average
official rate @1 EURO= INR XXX Approx……. for the reference year.
2) That the total gross income of year 2022 was equal to …….. Approx Applying the average
official rate @1 EURO= INR XXX Approx……. for the reference year.

(2) PROPERTY AND ASSET DETAILS :-

That the overall balance sheet of the family as per Government Records on 31st December 2021 and
31st December 2022 was the following:

1. This is to certify that Mr…………….. F/O…………….. has Immovable Property and is residing at (Home
address), measuring 20.00 Sq. Meters. His Family is living in this house from last 10 years. The above
property details are as per government records as on the date 31st December 2021 and 2022.

2. With reference to the Bank Certificate of Mr. ………….. has only one saving account bearing with
A/C NO……..with (BANK NAME)……. (BRANCH ADDRESS)………. that the balance as on 31/12/2021 is
INR.XXXX (Euros XXXX Approx) And a balance of as on 31/12/2022 INR.XXXX (Euros XXXX Approx).
This person does not have any other bank account, deposits, shares, debentures and credit as of
31/12/2021 and 31/12/2022.

3. The family member does not have any other Property/assets apart from the above.

NOTE:

This certificate is valid for only study benefits only.

DATE:- SIGNATURE:-