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Neelam Rani

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5) I give here inbelowtte details ofmyliabititieVover dues to public financial<br />

institutions and government dues:-<br />

:Please<br />

details for each items<br />

S.No. Description Name and address of<br />

Bank/financial<br />

Institutions/Departments<br />

(aXt) Loans from Banks<br />

(ii)<br />

Loans from financial<br />

institutions<br />

N)L<br />

Nr'I<br />

Amounts<br />

outstanding as on<br />

(iii)<br />

(bxi)<br />

(ii)<br />

(iii)<br />

Government dues (other than<br />

income tax and wealthtax)(No<br />

dues certificate to be enclosed<br />

in case holding or having held<br />

any public office).<br />

Income ta:r including<br />

surcharge[Also indicating the<br />

assessment years upto which<br />

Income Tax Return filed .Give<br />

also permanent Account<br />

NumberGAN)I.<br />

Wealth Tax{ AIso indicate the<br />

assessment year upto which<br />

wealth tax return filedl.<br />

Sales Tax [only in case of<br />

oroorietary business'|.<br />

lvrl<br />

N;/<br />

N,r(<br />

Nrl<br />

(iv) fiupffiTa;r<br />

Nil<br />

6) My educational qualifications are as under:- 5+t .<br />

( GIVE DETAILS OF SCHOOL AND UNIVERSITY EDUCATION)<br />

(N*" of school/Universrty and the year in which the courtre w[s completed :09uld<br />

arsobegiven) Kt\F\q ftrtl<br />

PLACE:KALANAUR<br />

DATED:2 "10512013<br />

DEPONENT<br />

Name in full<br />

VERIFICATION<br />

I , the deponent above named , do here by verifu and declare that the contents of this<br />

affidavit are true and correct to the best of my knowledge and belief; and no part of it<br />

is false and nothing material has been J#;fi;h;ffiil'<br />

verifiedat Kalanaur thisthe<br />

$rt^vfiw zot3. 6fidl<br />

n --

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