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Self-Declaration Form Template

This document contains a self-declaration form with fields for applicant's photo, name, age, occupation, address, UID number, and a statement declaring that the provided information is true to the best of their knowledge. The applicant understands they could face prosecution if any information is found to be false. The declaration needs to be signed and dated by the applicant.

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Cyber Cafe
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10K views1 page

Self-Declaration Form Template

This document contains a self-declaration form with fields for applicant's photo, name, age, occupation, address, UID number, and a statement declaring that the provided information is true to the best of their knowledge. The applicant understands they could face prosecution if any information is found to be false. The declaration needs to be signed and dated by the applicant.

Uploaded by

Cyber Cafe
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 Form

‘kklu fu.

kZ; dzekad% izlq/kk 1614@345@iz-dz-71@18- v

Annexure – A

Self – Declaration

Applicants Photo

I -------------------------------------------Son / Daughter of -----------------------------------------

Aged -------------, Occupation --------------------Resident of

--------------------------------------------------------------With UID No.

-----------------------------------------------------------Hereby declare that the Information

provided above is true and correct to the best of my personal knowledge, Information and

belief. I fully understand the consequences of giving false information. If the information

is found to be false, I Shall be liable for prosecution and punishment Under Indian penal

Code and / or any other law applicable thereto.

Place: ----------------- Applicants Signature------------------------------------

Date: ------------------- Applicants Name: ---------------------------------------

Applicants Photo ‘kklu fu.kZ; dzekad% izlq/kk 1614@345@iz-dz-71@18- v Annexure – A Self – Declaration I ---------------------

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