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Self Declaration for Higher Studies/Service

This self-declaration form is completed by an individual affirming their personal details, family income, and residential information for the purpose of higher studies or service. The individual declares their caste, religion, and property ownership, and acknowledges the truthfulness of the information provided. They also accept liability for any false statements made in the declaration.

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ommkardigital
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70 views1 page

Self Declaration for Higher Studies/Service

This self-declaration form is completed by an individual affirming their personal details, family income, and residential information for the purpose of higher studies or service. The individual declares their caste, religion, and property ownership, and acknowledges the truthfulness of the information provided. They also accept liability for any false statements made in the declaration.

Uploaded by

ommkardigital
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

SELF DECLARATION

I…………………………………………………………………………..aged about …………. Years, son/wife of


……………………………………

Resident of village ……………………………………………..Post ……………………………… P.S.


…………………………… Dist- Balasore, Odisha. Do hereby solemnly affirm and declare as follows:-

That my family’s permanent is of above noted address.

This declaration is made for the purpose of higher study/service/other of my son/daughter/self

The gross total annual income of my family from all sources is RS-………………………………(Rupees
Only)

1. Form agriculture Rs ……………………………


2. Form Service & Business Rs ……………………………
3. From Other Sources Rs ……………………………

I belong to S.E.B.C / O.B.C. My Sub – Cast is ………………………….. and my religion is Hindu

My residential house is situated over the Plot ………………… Kisam …………………. Area Ac…………..

Under Khata no ……………………Sthitiban of mz -………………………………………………………………………

The above record Stands in the name of ………………………………………………………………………………….

S/O-………………………………………………………………………………………….. Cast ………………………………… of


Nijagaun. The R.T

Is my father /Grandfather
…………………………………………………………………………………………………………………………………….

That, I declare facts stated here in above all are true & correct to
the best of my knowledge and belief, if any statements made
herein above found to be false or incorrect .Then , I shall be liable
for criminal prosecution under the provision of law.

Signature of declarer

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