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
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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
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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.…………………………………………