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SEBC Certificate Self Declaration Form

1. This document is a self-declaration certificate for Krushna Chandra Sahoo, aged 30 years, from Anasarta Village in Puri District of Odisha, declaring that he belongs to the SEBC (Socially and Educationally Backward Classes) community with a sub-caste of Judia. 2. Krushna declares that he is a permanent resident of Anasarta Village and his name is recorded in the village settlement record under Khata No. 481/175. 3. He affirms that any incorrect information provided could result in legal action and cancellation of the certificate.

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Manas Ghatasutra
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100% found this document useful (1 vote)
5K views1 page

SEBC Certificate Self Declaration Form

1. This document is a self-declaration certificate for Krushna Chandra Sahoo, aged 30 years, from Anasarta Village in Puri District of Odisha, declaring that he belongs to the SEBC (Socially and Educationally Backward Classes) community with a sub-caste of Judia. 2. Krushna declares that he is a permanent resident of Anasarta Village and his name is recorded in the village settlement record under Khata No. 481/175. 3. He affirms that any incorrect information provided could result in legal action and cancellation of the certificate.

Uploaded by

Manas Ghatasutra
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

CERTIFICATE

SELF DECLARATION OF SEBC


CHANDRA SAHe
ISri/[Link]
S/OWIO of Jatadlhari
Sahoo
aged about_30years
_P.[Link]
Village Anasarta

P.S. KonaK_ in the District Pu do here by solemnly afifm


and declare as under

1. That, Iam a permanent resident of Village Ana saura


u n d e r1 0 p Tahasil.

That, I belong to SEBC community and my sub-caste is judia


2
as per settlement ROR stands recorded in the name ofJatadkart hoo
S/O. Manu Sahoo vide Khata No.481/175

of Village AnasarRa
That, My Annual income is Rs. from Agricultural Land / Income
3

from Service Rs. and Income from Business/Others Sources

Rs total income of Rs.

(in word Only


4. That, The SEBC certificate is required for Study/ Service purpose of imtne.

I do hereby declare that the information given by me in this application form and its

self attested enclosures is true to the best of my knowiedge and that the inforrgation
furnished is exhaustive and I have not suppressed any fact. That, I am solely respons ible for
the accuracy of the declaration and information furnished and liable for action under section

199 and 200 of the Indian Penal Code in case of wrong declaration and information. Aiso,
am well avware of the fact that the cerificate shalil be summarily cancelled and allthe
benefits availed by me shall be summarily withdrawn in case of wrong declaration and infor

mation.

Krshna Chandca Sahoo


Signature of the Applicant

Common questions

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The SEBC declaration serves to formalize the applicant's identity by documenting their belonging to the SEBC community, specifying their sub-caste, and detailing their income sources and amounts. This formal declaration helps establish eligibility for SEBC benefits by providing an official record of these details .

To safeguard against misuse, several measures can be implemented: strict verification processes to cross-check information with official records, imposing stringent penalties for false declarations, periodic audits of issued certifications, and raising awareness about the consequences of misuse. The document itself warns about legal repercussions, which can act as a deterrent .

The SEBC certification is significant as it serves as proof of belonging to the SEBC community, which is recognized for certain reservations and benefits. This certification influences eligibility for study and service purposes by confirming the individual's caste status, thus providing advantages in educational and employment opportunities .

Providing false information in the SEBC declaration can lead to action under sections 199 and 200 of the Indian Penal Code, which pertain to making false declarations under oath. The applicant would be liable for criminal prosecution, and any benefits obtained using the false certificate would be withdrawn, and the certificate would be canceled .

Self-declarations in SEBC contexts raise ethical considerations around honesty and integrity. Applicants must ensure that the information provided is truthful, as misrepresentations can lead to unjust access to benefits that should be reserved for deserving candidates. The document's requirement for self-verification and acknowledgment of legal implications helps regulate access ethically .

The document states that the applicant, Krushna Chandra Sahoo, is aware that the certificate will be canceled, and all benefits withdrawn if the information is found incorrect. This acknowledgment underscores the applicant's understanding of the consequences of incorrect declarations .

The applicant declares income from three sources: agricultural land, service, and business or other sources. This detailed declaration of income is necessary for assessing the applicant's eligibility for the SEBC benefits based on economic status .

The settlement ROR (Record of Rights) is referenced in the document as evidence of the applicant's sub-caste under the SEBC category. This inclusion is crucial as it officially records the applicant's community standing, which is necessary for the verification process of their eligibility for SEBC benefits .

The applicant is responsible for ensuring that all information provided in the SEBC declaration is true and exhaustive. They must be aware of the repercussions of submitting incorrect information, including legal action and the cancellation of the certificate, along with the withdrawal of associated benefits .

The document plays a crucial role in ensuring transparency and accountability by requiring the applicant to affirm that all provided information is accurate and exhaustive. It highlights the applicant's responsibility for authenticity and details the potential legal consequences for providing false information, thereby discouraging fraudulent claims and ensuring that benefits are distributed to rightful beneficiaries .

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