FORM No.
III
(See Rule 3)
GOVERNMENT OF ODISHA
Office of the Tahasildar Narsinghpur
Miscellaneous Certificate Case No E-INC/2021/526539
INCOME CERTIFICATE
(Valid for the Financial Year 2021-2022)
This is to certify that Shri NABAKISHORE PRADHAN son of Smt NISHAMANI PRADHAN and Shri BASANTA
KUMAR PRADHAN, is a native/permanent resident of the district of CUTTACK in the state of Odisha and he or his family
is presently residing at Village/town kanjiapada P.S KANPUR Tahasil Narsinghpur in the district CUTTACK of in the
state of Odisha has an annual family income of Rs. 48000.00 (Rupees Forty Eight Thousand ) only from the sources
specified below.
Sl Income(in
Source
No. Rs.)
Agriculture (including plantation, horticulture, dairying, poultry,
1 fisheries etc.)
4000.00
2 Salary/ Wages/ Renumeration etc. 0.00
3 Trade/ Business/ Profession (Please Specify) 0.00
4 Other Sources(Please Specify) 44000.00
Total 48000.00
dgSign2031LocnDyna
Signature of the Revenue Officer
05/08/2021
**** This is a Digitally Signed Document And Does Not Require Signature ****
NOTE
(i) It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature.
(ii) This Certificate is issued as per section 4, 5,& 6 of Information Technology Act 2000 and its subsequent amendments in
2008 and as per Revenue & Disaster Management Department Notification number IMU-13/10-4251/R&DM.
(iii) For any Query or Verification , Agency /Department / Office may visit [Link]
(iv) Tampering of this Certificate will attract penal action.
Reference No: E-INC/2021/526539 To View: [Link] Token No: EDDE2CCA
