DECLARATION/VERIFICATION REGARDING PAYMENTS OF CHANDA HISSA AMAD (Schedule C Form)
I have received the details of payments made by me towards Hissa Amad during the fiscal year ________________
It is submitted that:
a) I have read all the instructions set out on the backside of this form and after tick marking (J) every source of my income, I have duly signed it; and
b) I state the following declaration:
Source of Income
Check all boxes that apply
Required
12b
I am studying in class or course:
Your answer
12c
Course/Class term or period is:
Your answer
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