Self-Declaration

I ROHIT KUMAR S/o Sh. JAI SINGH Resident of VPO. KALOL, TEH. JHA DUTTA, DISTT. BILASPUR
solemnly affirm and declare that:

1. I am unemployed and a Bonafide resident of H.P.

2. My annual family income from all sources including that of spouse is less than Rs. 2.00 Lakh (Rs.
Two Lakhs).

3. I am in the age group of 19-25 years.

4. I am not getting any social/retirement/other pension from Govt.

5. I am not a dismissed Govt. employee.

6. I have not been convicted of any offence resulting in imprisonment for a period of 48 hours or
more.

7. I have not claimed Skill Development Allowance from any Employment Exchange.

8. I haven't occupied any land rather than reporting Patwari Circle i.e. Patwar Circle KALOL.

9. I and my family didn't acquire one hectare land in any area including my reporting Patwari Circle.

PLACE: KALOL

DATE: 27/04/2024

Signature of the applicant

VERIFICATION:

I solemnly declare that all the facts given above are true to the best of my knowledge and belief and
nothing has been concealed.

PLACE: KALOL

DATE: 27/04/2024

Signature of the applicant

 उप-तहसीलदार कार्यालय
Office of Tehsildar Naib-Tehsildar
तहसील : कलोल (उप-तहसील) जिला :बिलासपुर
Tehsil : Kalol (ST) District : BILASPUR
गैर रोजगार प्रमाण पत्र
NON EMPLOYMENT CERTIFICATE

Unique Certificate
Validity: One year from date of issue
ID:NE202429343359213
(Subject to the instructions issued by Deptt of Personnel from time to time)

This to cetified that Mr.ROHIT KUMAR Son of Mr. JAI SINGH resident of Muhal KALOL Tehsil Kalol (ST) District
BILASPUR ( HP.), is an UnEmployed person and no member of his/her family is employed in any Govt/Semi Goverment
Service.

This certificate has been issued in favour of Mr. ROHIT KUMAR on the basis of report furnished by VRO Muhal

KALOL Pradhan Gram Panchayat KALOL Tehsil Kalol (ST) District BILASPUR HP and an affidavit/self declaration to

this effect furnished by said ROHIT KUMAR .

Approving Authority
Name: RAJVEER
Designation: Naib-Tehsildar
District: BILASPUR
Tehsil: Kalol (ST)

Approval Date: 17/02/2024

Disclaimer:-This is a digitally signed certificate and does not require hand signature. The
responsibility of verification of this document before accepting the same for any legal
purpose, would rest with the institution or organization or company or any other entity
where this document is produced.

Note:- This document can be verified online at Himachal Online Seva (HP e-District) portal
http://edistrict.hp.gov.in using unique certificate ID.