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    Income Declaration Form: (Self Attested)

    Uploaded by

    Gaurav Yadav
    This document is an income declaration form for a scholarship application. It requires the applicant to provide personal details including their name, address, and provisional registration number. It also requires financial details of the applicant's family including their occupations, annual incomes, and total annual family income from all sources. The applicant and their parent or guardian must sign to declare that the information provided is true and accurate, and that they understand false information could result in legal punishment or loss of benefits. The form is self-attested.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Income Declaration Form: (Self Attested)

    Uploaded by

    Gaurav Yadav
    995 views3 pages
    This document is an income declaration form for a scholarship application. It requires the applicant to provide personal details including their name, address, and provisional registration number. It also requires financial details of the applicant's family including their occupations, annual incomes, and total annual family income from all sources. The applicant and their parent or guardian must sign to declare that the information provided is true and accurate, and that they understand false information could result in legal punishment or loss of benefits. The form is self-attested.

    Original Title

    Income Declaration 2021(1)

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    This document is an income declaration form for a scholarship application. It requires the applicant to provide personal details including their name, address, and provisional registration number. It also requires financial details of the applicant's family including their occupations, annual incomes, and total annual family income from all sources. The applicant and their parent or guardian must sign to declare that the information provided is true and accurate, and that they understand false information could result in legal punishment or loss of benefits. The form is self-attested.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    995 views3 pages

    Income Declaration Form: (Self Attested)

    Uploaded by

    Gaurav Yadav
    This document is an income declaration form for a scholarship application. It requires the applicant to provide personal details including their name, address, and provisional registration number. It also requires financial details of the applicant's family including their occupations, annual incomes, and total annual family income from all sources. The applicant and their parent or guardian must sign to declare that the information provided is true and accurate, and that they understand false information could result in legal punishment or loss of benefits. The form is self-attested.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    .

    INCOME DECLARATION
    FORM
    (Self Attested)

    I S/D/o Sh.

    Father/Mother/Guardian of R/o

    Tehsil District

    State do hereby solemnly state and affirm as under: -

    1. That I am a citizen of India and permanent resident of address mentioned above.

    2. That my ward (Son / Daughter) (Name of the student) bearing Provisional Reg.

    No. would like to apply for LPU based Scholarship Scheme for the session

    3. That my and my family annual income from all sources is mentioned below:

    #
    Annual Income from
    Family Details Education Level Occupation
    all sources (in Rs.)

    Father

    Mother

    Guardian (To be filled only if he/she


    is paying the fees of the ward)

    #
    Total annual family income from all sources (in Rs.)

    #
    Income from salary/ pension/ rental/ business/ profession/ agriculture /any other sources.

    I hereby declare that all the information either mentioned above or in enclosed documents (if any) are true and correct to the best of my
    knowledge and nothing has been concealed therein. I very well know the fact that if any information is found to be false and incorrect
    than I will liable to be punished under Law in Force and any benefits received by me will be liable to be ceased.

    Self Declare
    (Signature of Parents/ Guardian* with date)
    In case Father is not alive, then certificate from Mother / Guardian is required
    Mention relation with applicant in case of Guardian
    *Signature must be same as on application form for admissions
    Sample filled “Income Declaration Form” below

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