AFFIDAVIT INCOME CERTIFICATE VILLAGE OFFICER
BEFORE THE VILLAGE OFFICER, ______VILLAGE
I, __________, aged __ years, W/o __________,(address)___ do here by solemnly affirm and state as follows.
1. That my son __________ intents to apply for the coming Med/Eng Entrance Examinations.
2. That I am permanently residing at ______________.
3. That my husband ___________., is residing at (Dubai) for the last (2) years. To the best of my knowledge he is having no employment or avocation.
4. That we are having a monthly income of Rs. __________/- only from the employment of my husband.
5. I will be liable for Civil criminal legal action if any one or more of above declaration is or are found out to be false or incorrect.
The facts stated above are true
Dated this the __th day of ________
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