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Self Attestation Form

The document is a declaration stating that the information provided is true and accurate to the best of the signee's knowledge. It acknowledges that providing false information could result in legal punishment and loss of any benefits received. The declaration includes spaces for the signee's name, relationship to others, age, residence, and signature.

Uploaded by

Yash Thorat
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1K views1 page

Self Attestation Form

The document is a declaration stating that the information provided is true and accurate to the best of the signee's knowledge. It acknowledges that providing false information could result in legal punishment and loss of any benefits received. The declaration includes spaces for the signee's name, relationship to others, age, residence, and signature.

Uploaded by

Yash Thorat
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

ANNEXURE-A

I,...................................................S/o/D/o/W/o.....................................................Age................
resident of ..................................District........................hereby declare that the information given
above and in the enclosed document(s) is true to the best of my knowledge and belief and
nothing has been concealed therein. I am aware of the fact that if the information given by me is
proved false/not true, I will have to face the punishment as per the law. Also, all the benefits
availed by me shall be summarily withdrawn.

Signature

Name:

Address:

ANNEXURE-A

I,...................................................S/o/D/o/W/o.....................................................Age................
resident of ..................................District........................hereby declare that the information given
above and in the enclosed document(s) is true to the best of my knowledge and belief and
nothing has been concealed therein. I am aware of the fact that if the information given by me is
proved false/not true, I will have to face the punishment as per the law. Also, all the benefits
availed by me shall be summarily withdrawn.

Signature

Name:

Address:

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