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Self Declaration of Financial Status

self decration form

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

Self Declaration of Financial Status

self decration form

Uploaded by

zero53160007
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,‬ ‭Priyanshu saroj‬ ‭,S/O, Mr. Harish Chandra‬‭Saroj‬


‭Age: 17 year……………..Resident of [Link]……………..…………………………‬
‭, Warangal Urban district, Telangana State, INDIA, (Aadhar Card‬
‭No……………………..……..………….) do hereby solemnly affirm and state on‬
‭oath as under:‬

‭ . I am not having children who are Govt. Employee / Private sector‬


1
‭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.‬

‭ hat the above facts are true in future if it is proved false I have no‬
T
‭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.…………………………………………‬

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