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a;E!GF
Annexure-1
The written declaration as given hereunder will be included at
theend of the application form for geiting Unemployment Allowanl.i
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Son/
the informtion given above and in the enclosed documents is true
to thebest of my knowledge and belief and nothing has been
concealed therein.I am well aware of the fact that if the
information given by me is provedfalse/not true, I will have to
face the punishment as per the law. Also, allthe benefits availed
by me shail be summarily withdrawn.
Signature of applicant
Affix recentphotograph of the
applicant withsignature
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