SELF-DECLARATION

I, Shri/Smt. ……….……………………………………………………………… son/

wife/daughter of Shri/Smt. ………………………………………resident of
…….………………………………………………………..………District………………………………
……………………..State…………………………………………………………Pincode……………
…………………….hereby declare that the information given by me and
t h e enclosed documents is correct and true to the best of my
knowledge and belief.

Date .:
Place .:

Name and Signature of the Applicant