TO WHOM IT MAY CONCERN This is to certify that the annual income of Shri /Smt . . .. . .. . ..... . . ........... S/o, D/o, W/o, H/o, M/o ................ is a resident of ............................ his /her total annual Family Income is Rs..... ./-(Rupees.......... ..............only) which comes from Occupation. ........ He /she is not related to me. Dated/Imphal The th 200 Signature: Name : Designation: Seal: Verified by: http://imphalwest.nic.in