Family Income Self-Declaration Form

This document contains a self-declaration of family income. It includes: 1) Personal information of the declarer such as name, address, and citizenship. 2) A statement declaring the annual family income amount in rupees and words. 3) A statement indicating whether the declarer, spouse, or both are earning members of the family. The declarer certifies the information is true and acknowledges legal penalties for providing false information.

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Family Income Self-Declaration Form

Uploaded by

tilak 3344

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 OF FAMILY INCOME

I, __ Father/Mother( in case of single

parent) of _______________ __________, resident of ( full
address) ____________________________________________
________________________________________________________
________________________________________________________
hereby declare as under :

a) I am Citizen of India.
b) That annual family income from all sources is Rs. ____________
( in words also)_________________________________________.
c) I declare that I /my spouse /both is/are earning member(s) in my
family.
2. I certify that the above information given by me is true.
3. In case this information is found false , the financial assistance awarded
to me may be recovered with penality interest and I am liable to a legal
action against me in accordance with law.

Signature of Parent.

Note: For SC/ST/OBC/Min Students

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