Scribd
Upload
23 views1 page

Self Declaration - Income

This self-declaration document is completed by an individual affirming their family details, including names, ages, relations, occupations, and total monthly salary. The individual declares their family's annual income for the year 2025-2026 and states that no family members are employed abroad or in government positions. The declaration is intended for submission to the Village Panchayat in order to obtain an income certificate for the Griha Aadhar Scheme.

Uploaded by

jude93324
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
23 views1 page

Self Declaration - Income

This self-declaration document is completed by an individual affirming their family details, including names, ages, relations, occupations, and total monthly salary. The individual declares their family's annual income for the year 2025-2026 and states that no family members are employed abroad or in government positions. The declaration is intended for submission to the Village Panchayat in order to obtain an income certificate for the Griha Aadhar Scheme.

Uploaded by

jude93324
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

SELF DECLARATION

I, the undersigned _____________________________________________, W/o.


______________________________________________, Age ______ years, Indian National, r/o. H.
No. _____________________________________________________________________ do hereby
solemnly affirm and state as under:

The details of my family are as under:

NAME AGE RELATION OCCUPATION INCOME

TOTAL SALARY (PER MONTH)

I say that, my family Annual Income from all sources is Rs. _____________/- per
annum (________________________________________________ Only) for the year 2025-
2026.

I hereby say that out of the persons mentioned above, none are
working Abroad or in Government.

I sat that, I have sworn this DECLARATION in order to submit in the office of
Village Panchayat, Aldona, Bardez, Goa to obtain INCOME CERTIFICATE and same is
required for the Purpose of availing GRIHA AADHAR SCHEME to be produced at
DIRECTORATE OF WOMEN AND CHILD DEVELOPMENT, PANAJI-GOA.

I say that whatever stated herein above is true to the best of belief and
knowledge.

Place: ______________.

Date: ______________.

Identified by:
Aadhaar Card No. _______________________

DEPONENT

You might also like