A FIX COURT FEE STAMP OF RS.2/-

To
The Mandal Revenue Officer
.........................................Mandal
Hyderabad, A.P.

Sub: Application for Issue of Income Certificate - Requested - Regarding.
Respected Sir,
           I,..............................................................................S/o. ...........................................................................
S/o. D/o. W/o..................................................................................................................................................
R/o.H.No........................................................................................................................................beg to
state the following few lines for your kind consideration and favorable orders.  Here with enclosing Ration 
Card copies and Affidavit to different Gazetted Officers I.E. Certificate of myself.
I am residing in the above mentioned address, which is in the jurisdiction of Shaikpet Mandal.  On the strength 
of copies and my study certificates submitted o you for verification, I  may kindly be issued a Residential Certificate.
On receipt of the Certificate from Mandal Oficer,  I will submit the same...........................................................
...............................................for the purpose of...........................................................................................
I, therefore, humbly request you to issue me the Residential Certificate.
Yours faithfully  
Dated:
Place:
Enclosures:
                    1) Two Gazetted Officer Signature.
                    2) Photocopy of Bonafied Certificate.
                    3) Photocopy of Ration Card.
                    4) One Affidavition of Rs. 10/- Stamp papers with notary