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Surviving Member Certificate Declaration

The document is a self-declaration by Saluddin, applying for the issuance of a Surviving Member Certificate. It affirms the accuracy of the provided information and outlines the legal consequences for providing false information under the Bharatiya Nyaya Sanhita, 2023. The declaration includes potential penalties for false information and evidence, including imprisonment and fines.

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674 views1 page

Surviving Member Certificate Declaration

The document is a self-declaration by Saluddin, applying for the issuance of a Surviving Member Certificate. It affirms the accuracy of the provided information and outlines the legal consequences for providing false information under the Bharatiya Nyaya Sanhita, 2023. The declaration includes potential penalties for false information and evidence, including imprisonment and fines.

Uploaded by

gurpal.srpl
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

Temp. Application Id: 12555468 Applied For:Issuance of Surviving Member Certificate

I SALUDDIN S/o of Sh. MOHMMAD YASIN aged 48 R/o E-287, GALI NO-5 WEST VINOD NAGAR VINOD
NAGAR WEST Delhi 110092 India

Verify as Under :

1. That the above contents are correct to the best of my knowledge and belief and nothing has been concealed
therein .

I further affirm that:

2. I am aware that in case the information furnished above is found to be incorrect, I shall be liable for
prosecution under sections 212 & 227 of the Bharatiya Nyaya Sanhita, 2023, which stipulates as under:-

212. Furnishing false Information- whoever, being legally bound to furnish information on any subject to
any public servant, as such, furnishes, as true, information on the subject which he knows or has a reason to
believe to be false,-

(a) shall be punished with simple imprisonment for a term which may extend to six months, or with fine which
may extend to five thousand rupees, or with both;

(b) where the information which he is legally bound to give respects the commission of an offence, or is
required for the purpose of preventing the commission of an offence, or in order to the apprehension of an
offender, with imprisonment of either description for a term which may extend to two years, or with fine, or
with both.

227. Giving false evidence- Whoever being legally bound by an oath or by an express provision of law to
state the truth, or being bound by law to make a declaration upon any subject, makes any statement which is
false, and which he either knows or believes to be false or does not believe to be true, is said to give false
evidence.

3. Providing any false evidance shall be punishable under section 229 of BNS, 2023 which provides
imprisonment for a term upto three years and fine.

Date: 10/03/2025 Signature of Beneficiary :

(Parents Signature in case of minor)

Place:New Delhi

1-0 10/03/2025 14:11:24

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