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FINANCIAL POSITION REPORT FOR VISA PURPOSE

Based on the relevant records and the information produced before me, I CA NAME, Chartered Accountant (Membership No. ) certify that the following are the Combined immoveable and moveable/liquid assets of

Applicant Relation having passport no. having Residence at ...............................................
based on information and documents provided as under:-

Source of Funds

Sr. No. Source Of Funds Amount (In INR) Amount (In USD) Annexure Action
1 Immovable Assets 0 0 A
2 Movable Assets 0 0 B
Total: 0 0
3 Income Detail 0 0 C

Annexure : A Immovable Assets (as per Valuation Certificate)

Sr. No. Detail Owner Name Amount (In INR) Amount (In USD) Action
1 Discription Discreption 0 0
2 Discription Discription 0 0
Total: 0 0

Annexure : B Movable Assets

Sr. No. Detail Owner Name Amount (In INR) Amount (In USD) Action
1 Discription Discription 0 0
2 Discription Discription 0 0
Total: 0 0

Annexure : C Income Detail

Sr. No. Detail Owner Name Amount (In INR) Amount (In USD) Action
1 Total Income as per Assessment Year Discreption 0 0
Total: 0 0

Date: 01/01/2000

Firm Name

Chartered Accountant

(CA NAME)

M.No: ........