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How to Complete Self Declaration Form

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0% found this document useful (0 votes)
88 views1 page

How to Complete Self Declaration Form

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/O,D/O,W/O………..………….…………………………….,

Age:…….….., year……………..Resident of [Link]……………..………………………… , Warangal Urban district,

Telangana State, INDIA, (Aadhar Card No……………………..……..………….) do hereby solemnly affirm

and state on oath as under:

1. I am not having children who are Govt. Employee / Private sector employment / Private /
Outsourced / Govt. Pensioner / Freedom Fighter pension.

2. I am not having large business Enterprise like oil mills, rice mills, petrol pumps, rig owners,
shop owner etc.

3. I am not Owners of light and/or heavy automobiles (four wheelers and big vehicles.)

4. I am not having land more than 3.0 acres wet/irrigated dry or 7.5 acres dry.

5. I am not any other criterion in which the verification officer may assess by the manner of
lifestyle, occupation and possession of assets rendering the households as ineligible.

That the above facts are true in future if it is proved false I have no objection if my sanctioned

pension is cancelled more over I shall return all the pension amount which I obtained from the

Government by my false representation.

Date:-……………………………

Signature of the applicant / Thumb impression

Mobile No.…………………………………………

Common questions

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The self-declaration statement outlines several criteria that determine ineligibility for a government pension in Telangana. These include: not having children employed in government or private sectors, insufficient large business ownership such as oil mills or petrol pumps, not owning light or heavy vehicles, owning less than 3.0 acres of wet or 7.5 acres of dry land, and other criteria assessed by lifestyle, occupation, and possession of assets. If these conditions are violated and falsehoods are discovered, the applicant is liable to return the pension amounts received .

The condition that mandates the return of pension amounts if false information is provided in the self-declaration ensures accountability and deters applicants from making false claims. This legal mandate acts as a safeguard for government resources by ensuring that only eligible applicants benefit from pensions. It also implies a strong regulatory mechanism where the false declaration can lead not just to the cessation of benefits but also repayment, which could impose significant financial burdens on applicants who deceive the system .

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