Salf-Declaration
Temp. Applieation I: 3380273 Applied Fordssuance of Casts (OBC) Certificate
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TROHIT KUMAR S/o of Sh, RAMESH CHANDRA aged 17 Rio E-244 GALI NO-5 MITTAL COLONY PUL
PEHLADPUR Delhi 110044 India
Verify as Under
“That tne atiove contants are
therein.
rovt to the best of my knowledge and elie and
thing has boon concealed
2 Thal have gone through the oriterian for exclusion of Greomy layer given in Annexure | attached to
‘application and state that | do not fallin Creamy layer
urthar eins that
3. Lam aware thet in case the infomation furnished above i found to be incarreet, | ahall he liable toe|
prosocution under section 177 & 191 of the Indian Penal Cade, which stipulates ac
dor: 477. Fusishing
servant,
San lo boliava lo be false,
Fal Infernation- wheaver, being legally bound to furnich information on any subject te any pul
ss auch, fumieies, ag te, information on the subject which he knows or I
shall be punished with simple imprisonment for a term which may extend to she months, or fine which may
exlend ta one thousand! mpees, or with bell:
Or, ithe information which he is legally bound to giva respacts the commission af en offence, ois required
{er the purpose of preventing the commission of in allenes, erin order to the apprehension af ai attend,
‘with impriconment ef either description fora teem which may exlend to Luo years, or with fine, cr with both,
191. Giving false evidence- Whoever being legally bound by an oath or by an express provisian af taw lol
slate lhe truth, or being bourd by lsur to make a deciralion upan-any subject, makes any ststement which i
false, and which ho efther knows or bs
evidence.
126 to be fale ar does nol bollave to bo trug, i sald to give false
}4.. Providing any false evidance shall be punishable under section 193 of IPC, 1860 which provides
Imprisonment for a erm upla three yours and fine.
iia sisircomcenaas O~t
Parents Signature in eage of minor)
Place:New Dati
0 suoaoan 1