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Q3(I)(L1)<br />

Q3(I) (iii)<br />

!23(1 )(111)<br />

Q4<br />

Q4(A)<br />

Codang Shaat<br />

R-f ●rmnc=<br />

Q31i(2 ) amount<br />

Q31(3)<br />

Q31i(3) amount<br />

Q4<br />

Q4A<br />

No of<br />

BOxOs/<br />

Clmractors<br />

5<br />

3-E 2-p<br />

2<br />

5<br />

2<br />

2<br />

Codang Instructions/R.marks<br />

Valuem -3-10000<br />

Second bonefat<br />

Ent*r amount of #econd<br />

benaf xt mmnt ioned.<br />

~8 -- 14<br />

Third tvDe of b~<br />

Veluee .- 1000Q<br />

Enter amount of 3rd<br />

benef ~t mant lonod.<br />

values --<br />

2<br />

Any other p9rsonal income?<br />

(Include ●arnings from<br />

Government Trunmg Schamee )<br />

Y*B . . . . . . . . . . . . . . . . . ...01<br />

No. . .. ......... ... .. 02<br />

Valu es -3-14<br />

Enter coda for total other<br />

personal income.

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