4 Page Hot __link__: Aay Praman Patra

| S.No. | Source of Income | Annual Amount (in Rs.) | | :--- | :--- | :--- | | 1. | Salary / Wages | Rs. _______________ | | 2. | Agriculture / Land Revenue | Rs. _______________ | | 3. | Business / Profession | Rs. _______________ | | 4. | Property / Rent | Rs. _______________ | | 5. | Other Sources | Rs. _______________ | | | Total Annual Family Income | Rs. _______________ |

This is to certify that Shri/Smt. , Son/Daughter/Wife of [Father's/Husband's Name] , is a permanent resident of [Full Address] . aay praman patra 4 page hot