Uploaded by pravin.mehta1940

SelfDeclaration SCST Income

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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
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