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Self Declaration

The Income Self Declaration Form for Students allows candidates to declare their family's annual income to determine eligibility for the Economically Weaker Section (EWS) category. Students must provide personal details, including their course, college, and unique code, and affirm the truthfulness of their declaration. The form also includes a warning about the consequences of providing false information.

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kaushikvansh2005
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32 views1 page

Self Declaration

The Income Self Declaration Form for Students allows candidates to declare their family's annual income to determine eligibility for the Economically Weaker Section (EWS) category. Students must provide personal details, including their course, college, and unique code, and affirm the truthfulness of their declaration. The form also includes a warning about the consequences of providing false information.

Uploaded by

kaushikvansh2005
Copyright
© All Rights Reserved
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

INCOME SELF DECLARATION FORM FOR STUDENTS

Declaration of Income / EWS Status


I, ___________________________ (Name of the Candidate), wish to enroll in the
___________________________ (Name of the Course) at ___________________________ (Name
of the Centre). My unique code for the declaration is_______________(CentreCode-FirstName-
Date of Birth (DD/MM/YYYY) For example:
I am currently a student of ___________________________ (Course/Program) at
___________________________ (College Name / Centre Code). (For college model only)
I hereby declare that my family’s annual income is:

● ☐ Below 8,00,000 (Rupees Eight Lakhs only) – I belong to the Economically Weaker Section
(EWS) category as per the guidelines of the Government of India.

● ☐ Above 8,00,000 – My family’s annual income is __________________ (in words:


____________________________), and I do not fall under the Economically Weaker
Section (EWS) category.
I affirm that the above information is true and correct to the best of my knowledge. I understand
that if any part of this declaration is found to be false, my admission/benefits may be cancelled.
Aadhaar Number: ___________________________
Phone Number: +91-__________________________
Date: _______________
Place: _______________

Signature of the Student


(With Full Name)

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