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Self Declaration 1

Sri Kuldip Jain, a 26-year-old resident of Odisha, declares that the information provided in his application is true and complete. He acknowledges responsibility for the accuracy of this declaration and understands the legal consequences of providing false information. He is aware that any incorrect declaration may lead to cancellation of his certificate and withdrawal of benefits.

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tanaya1798
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263 views1 page

Self Declaration 1

Sri Kuldip Jain, a 26-year-old resident of Odisha, declares that the information provided in his application is true and complete. He acknowledges responsibility for the accuracy of this declaration and understands the legal consequences of providing false information. He is aware that any incorrect declaration may lead to cancellation of his certificate and withdrawal of benefits.

Uploaded by

tanaya1798
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
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SELF DECLARATION

I, Sri Kuldip Jain, aged about 26 years, S/O Late Pravin Kumar Jian, resident of Near Jayantee
Hotel, P.O./P.S. Titilagarh, Dist. Balangir, (Odisha) do hereby declare that the information given
by me in this application form and its self-attested enclosures is true to the best of my knowledge
and that the information furnished in exhaustive an:1 I have not suppressed any fact. That, I am
solely responsible for the accuracy of the declaration and information furnished and liable for
action under section 199 and 200 of the Indian Penal Code in case of wrong declaration and
information. Also, I am well aware of the fact that the certificate shall be summarily cancelled and
all benefits availed by me shall be summarily withdrawn in case of wrong declaration and
information.

Signature of the applicant

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