Self Declaration Resident 1

This document is a self-declaration form where the individual confirms the accuracy of the provided information and acknowledges the legal consequences of false statements. The signer is aware that any benefits received based on false information may be revoked. The form requires the candidate's signature, date, and place of declaration.

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Self Declaration Resident 1

Uploaded by

draupadieworld

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

SELF DECLARATION

I Smt/Sri/Kumari
Son/Daughter/Wife of Shri Age Year Resident of village
, PO: , PS , Tahasil:
, District , State: Odisha, PIN: do hereby
declare that, the information given above and in the enclosed documents is true to the
best of my knowledge and belief, and nothing has been concealed the rein. I am well
aware of the fact that,if the information given by me is proved false/not true, I will be
liable for action as per the law. Also, if any benefits availed by me shall be summarily
withdrawn.

Date
Signature of the Candidate

Place:

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Self Declaration Resident 1

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Self Declaration Resident 1

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SELF DECLARATION

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