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Self Declaration

This document is a self-declaration affirming the individual's permanent residency, date of birth, and application for a New/Renewal Conductor License. The declarant asserts that all submitted documents are true and requests the issuance of a learner license. It includes a verification statement acknowledging the accuracy of the information provided and the potential legal consequences for misrepresentation.

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gojosaturosaini
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3 views1 page

Self Declaration

This document is a self-declaration affirming the individual's permanent residency, date of birth, and application for a New/Renewal Conductor License. The declarant asserts that all submitted documents are true and requests the issuance of a learner license. It includes a verification statement acknowledging the accuracy of the information provided and the potential legal consequences for misrepresentation.

Uploaded by

gojosaturosaini
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

SELF DECLARATION

I, .................................................... S/D/W/[Link] ....................................................

R/o ....................................................................................................................

.................................................... do hereby solemnly affirm and declare as under:

1. That I am permanent resident of the above said address.


2. That my date of birth is ................................ (Proof attached).
3. That I have applied for New/Renewal Conductor License.
4. That all documents of New/ Renewal Conductor License filled are true and genuine.
5. That the learner License may kindly be issued to the declaring.

Place:-

Dated:-

Deponent

VERIFICATION:
Verified that the application is correct to the best of my knowledge and belief and nothing has been
concealed by me therein. In case of any concealment or misrepresentation, legal action may be
taken against me under section 162 IPC, Section 415 read with section 417 & 420, as the case may
be.

Place:-
Date:-

Deponent

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