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Haryana Resident Certificate Declaration

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1K views1 page

Haryana Resident Certificate Declaration

Uploaded by

zgjrv5h5r8
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 ............................................................ S/D/W/o ............................................................


R/o ..................................................................... Tehsil .................. Distt ..................

State Haryana do hereby solemnly affirm and declare as under :-

1. That I am the permanent Resident of above said address.


2. That I need to Resident Certificate Govt. of Haryana.
3. That ........................................ is my son/daughter/wife need to Resident Certificate Govt. of
Haryana.
4. That He/She has not obtained so far from any other state Resident Govt. of India till the date.
5. That He/She belong to the .................................................... caste.
6. That our family annual income is ....................................................
7. That I need it for ....................................................

That the above mentioned details acc. to me fully right and I have no any objection in these details.

Place : ........................................
Date : ........................................

Signature of the Applicant

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