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DECLARATION
Scanned
passport size
photo with
self
attestation
I, _______________________________ S/o, D/o, w/o _________________________________ aged about
______________ years and resident of _________________________________ with Aadhaar
No.___________________________________ or any other documents as mentioned in the guidelines
__________________________________ hereby declare as follows:
I am further to declare that the facts mentioned above and in Form – I are true and
correct to the best of my knowledge and belief.
I am further to state that if the information furnished in FormI i.e., application, and
this declaration i.e., Form – II, is found to be false/incorrect, I am liable for prosecution and
for cancellation of any employment in Government / Organization or seat in any
Educational Institution/University, obtained based on the local status certificate.
[In case applicant is minor, parent/guardian shall also make following declaration apart
from the applicant’s declaration]