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    neha gowda
    This document is a declaration by an individual who worked as a washerman/barber in India. [1] Due to the lockdown to prevent the spread of COVID-19, the individual lost their job and source of income. [2] They declare that no other member of their family has applied for or received relief. [3] They further declare that they have worked as a washerman/barber for over 10 years and are eligible for relief under the applicable act.

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    Img 20200703 0020

    Uploaded by

    neha gowda
    21 views1 page
    This document is a declaration by an individual who worked as a washerman/barber in India. [1] Due to the lockdown to prevent the spread of COVID-19, the individual lost their job and source of income. [2] They declare that no other member of their family has applied for or received relief. [3] They further declare that they have worked as a washerman/barber for over 10 years and are eligible for relief under the applicable act.

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    docments

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    IMG_20200703_0020

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    This document is a declaration by an individual who worked as a washerman/barber in India. [1] Due to the lockdown to prevent the spread of COVID-19, the individual lost their job and source of income. [2] They declare that no other member of their family has applied for or received relief. [3] They further declare that they have worked as a washerman/barber for over 10 years and are eligible for relief under the applicable act.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views1 page

    Img 20200703 0020

    Uploaded by

    neha gowda
    This document is a declaration by an individual who worked as a washerman/barber in India. [1] Due to the lockdown to prevent the spread of COVID-19, the individual lost their job and source of income. [2] They declare that no other member of their family has applied for or received relief. [3] They further declare that they have worked as a washerman/barber for over 10 years and are eligible for relief under the applicable act.

    Copyright:

    © All Rights Reserved
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    n"c$o dra(dd/SeEpertcglen

    Urlard:sldrJno q? ,o
    er/inidapd- ddgcdrd\ JdFSodJ€_d;, d,o(J@"_1ed ddri erot" .do-" zrdoo$
    6odca, ddo dd oad eod,oj(rl idHerorld ddo (JaJdo$ddJ;L
    d$dJd,oo&dJd-(d dgJ_ ereFd icdddd,orgndRdJd_(dodr da d),oe-)d
    *"o("1ir3--rd.
    I, Sri/Sn[,iMiss b eing Washennan/Barber*, I hercby declarc lhat. es
    lockdorvn u.as anoounccd to prevent covid- 19, I lvas unable to continuc m)- rvork
    and dcprirecl
    ol n v inconrc and I arn iu llnancial distress

    ida
    tsrd,lrozrd oJrddd( idx.sdr dxe)*od do6od d,o(O e9dF
    nO_,1o:6oe) (,ddE aJdbdJdt)eI dod) d dyde)d d,o(&i)j_(nj.
    Furlher I hercby dcclar.e that llo l1rember of lnv lamily has applied for
    the above rclic] an.1
    not receivcd ally col1tpc[satio[.

    I
    .). oo\EJoOJ JooJ) €dd/dopd, d".B"obo_ /<- aidrri9od
    3,odndJooAdJd)6oR d-, droo6 -qj,ot&nJd_(d ,13) dd.$ erio"i-rgd
    -r:',:a-J :l-j-:idd qjdr,;E 6ac.]).2oo8ij rr-lxJo?j 2ciu_ aJd.)JotiAd Edo$-ijg
    -.;;r-d Lr/-s3"drd6)e)_ 60rl,0 eedFC$O_ -Edr nojJdrd dro&,godrr d
    s.rd dJ63rrl igrdrdRd aDo.Jr *,o(&Xrd_(d 6011,0 Lodr d(S dddJ J(&Cr_
    dro&,3oCrJ cxgsdodr dodr aJodel rodoJd d;a$4 qrddddddRdJ€-(d.

    Furthcr. I hereby declare that I am workiig as WashcrnadBarbcr*


    silrcc _- ycars
    end I .Lm.not^uor cr eLl rLrd(r trlc ,cts spccil-red in sihcd*re Ir of the U.orga,izccl
    wo.ke's Social
    Sccufliy -\rt l0uti. j irlso decl e tltat the i[lbmration providcd in the
    af,plication is true to rhc
    bc-st of my lilowledge ancl I shall be liablc 1Lr legal action
    i,rror nutiu .rr rl,. ir|l,lie.rrion
    ;, .".!'ui firtnishi[g $r.orle

    'n-SlPlace: /Odl ,t,e:-,


    e-r€FCtdbd iL,/-dri" dzJ" ej.,^J ,o,d
    hd-do8/Dare: salz lawo \ppliriLnt Siqnunrrc I ctt I hllrnh lrn|r,^<.,61

    *strikeoutwhich is not applicabte/ egi"ldsoSO_CJ-d)a dJoddJ 6da

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