Government of Tripura

Office of the Sub-Divisional Magistrate

KAILASHAHAR : Unakoti District
Application ID: INCM/2017/19221 Service : Income Certificate Dated: 12/08/2017

ACKNOWLEDGEMENT

Applicant's Details
Name Mr. Arun Kanti Sinha Date of Birth 01/01/1962
Mobile 9612522613 E-Mail amandeepsinha745@gmail.com
Guardian's
Qualification Post-Graduation or Equivalent Late Phalguni Sinha(Father)
Name(Relation)
Religion Hinduism Caste OBC
Village Habitation, Goldharpur Gram Panchayat,
Address Gournagar Block, Post Office Kailashahar S.O - Police Station KAILASHAHAR
799277, Unakoti District, Tripura.
Service
Hard Copy Next Visit Date 04/09/2017
Output Type

Money Receipt (Payment Mode: )

Received Rs: /- (Rupees Only) vide Payment

Reference No. , Dated from Mr. Arun Kanti
Sinha C/o Late Phalguni Sinha of Receiving Official for
Sub-Divisional Magistrate
Village Habitation, Goldharpur Gram KAILASHAHAR,
Panchayat, Gournagar Block, Post Office Unakoti District.

Kailashahar S.O - 799277, Unakoti District,

Tripura for Income Certificate.

Annexures Details

Type of document(s) Document(s) Attached

Other Other
Common Application Form Common Application Form
PRTC of the Applicant Citizenship Certificate
Photo ID Proof of the ApplicantAADHAAR Card
Family Ration Card Ration Card

The consent of the Aadhaar number holder(s) has been taken for using Aadhaar number(s) for
the under-mentioned purpose;
"XXXXXXXX8077 : This Aadhaar number will be used only for verifying the identity of the
applicant for delivery of this service"