SELF DECLARATION OF FAMILY INCOME I, ______________ ____________Father/Mother( in case of single parent) of _______________ __________, resident of ( full address) ____________________________________________ ________________________________________________________ ________________________________________________________ hereby declare as under : a) I am Citizen of India. b) That annual family income from all sources is Rs. ____________ ( in words also)_________________________________________. c) I declare that I /my spouse /both is/are earning member(s) in my family. 2. I certify that the above information given by me is true. 3. In case this information is found false , the financial assistance awarded to me may be recovered with penality interest and I am liable to a legal action against me in accordance with law. Signature of Parent. Note: For SC/ST/OBC/Min Students