Mormugao Municipal Council: Applicable Forms Page 1 ANNEXURE V MORMUGAO MUNICIPAL COUNCIL Form of Application for Issue of certificate of income in Municipal Area. To, The Chief Officer, Mormugao Municipal Council, VascodaGama. 1. Name and address of the applicant : 2. Date and place of birth : 3. Profession / Occupation : 4. a) Are you married? If so wife,s / Husband ,s name : b) His/Her profession /occupation? : c) Number of earning members in the family? : d) Please give their monthly income separately : e) How many children do you have? : f) What are they doing? : 5. Do you, your wife/husband have any immovable property? : 6. Do you have any other family member having any income from other sources such as interest on bank deposit etc : If so, indicate the same : 7. a) Purpose for which the certificate of income required? : b) Did you apply for a certificate of income earlier? : If so, when? : (Signature of the applicant) Place: VascoDaGama. Dated: N.B.: This application has to be a accompanied by proof of income and an affidavit on a judicial stamp paper taking oath of his/her income from all sources. Back to "Income Certificate" http://www.mmcvasco.com/annexure/annexure5.html 7/16/2010 5:00:08 PM
