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Ri Report Form

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Lalit Padhan
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3K views1 page

Ri Report Form

Uploaded by

Lalit Padhan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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OFFICE OF THE REVENEU INSPECTOR

CIRCLE_____________________TAHASIL________________________DIST______________

(Only for pension under MBPY)

This is to certify that Sri/ Smt/ Kum _____________________________S/O , W/O,D/O

_________________________GP _____________________ Tahasil_____________________

Dist. Balangir in the state of Odisha Pin____________ whose (Family) Annual income is less

than Rs. 40000/- from all sources.

This certificate is granted for online application of Old age pension/Widow pension/Disability
pension/Unmarried pension.

Signature of Applicant Revenue Officer

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