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GAP Certificate Self-Declaration Form

The document is a self-declaration form for a GAP Certificate where the applicant states their educational background and confirms a gap in their studies. It includes personal details such as name, age, occupation, and UID number, along with a declaration of the truthfulness of the information provided. The applicant acknowledges the legal consequences of providing false information and must submit a notarized affidavit on stamp paper.

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2K views1 page

GAP Certificate Self-Declaration Form

The document is a self-declaration form for a GAP Certificate where the applicant states their educational background and confirms a gap in their studies. It includes personal details such as name, age, occupation, and UID number, along with a declaration of the truthfulness of the information provided. The applicant acknowledges the legal consequences of providing false information and must submit a notarized affidavit on stamp paper.

Uploaded by

rijucuber
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

Applicant’s Photo

Self-Declaration
(GAP Certificate)

I ……………………………………………………………. Son / Daughter of


……………………………………….aged…………..occupation ..................................... resident
of………………………….…………………………………………………………
…………………………………………with UID No. ………………………………………..
Hereby declared that, I have passed………………………………………course from
……………………………………………………………………………… College during the year
…………………………….. and I hereby state that, I have not taken admission during the period
of gap from ………………….. to …………………… period, hence, the gap arises in my
education.
The information provided above is true and correct to the best of my personal
knowledge, information and belief. I fully understand the consequences of giving false
information. If the information is found to be false, I shall be liable for prosecution and
punishment under Indian Penal Code and / or any other law applicable thereto.

Place :………………………. Applicant’s Signature…………………………

Date :………………………… Applicant’s Name :……………………………

(Note: Notarized Affidavit on Stamp paper of Rs.100/- as per prescribed format for
GAP Certificate)

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