DeclarationsSelf-Certified

General Self Declaration Form

Standard self-declaration format under Government of India self-certification policy for citizen applications.

Required PaperPlain A4 Paper (Self-Signed)

Attestation:Self-Signed

How to use this document:

Fill in your details below to generate a formatted legal draft. Print directly or onto non-judicial stamp paper as prescribed by your state stamp rules, then sign and execute.

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Est. time: 1 min

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Easy to Doc formats your legal draft according to statutory Indian conventions. The document becomes legally binding once printed on valid stamp paper and executed with valid signatures / notary attestation.

SELF DECLARATION / UNDERTAKING

I, [NAME], child/spouse of [FATHER/SPOUSE NAME], resident of [ADDRESS], holding Aadhaar (last four digits) XXXX-XXXX-XXXX, do hereby declare and state as follows:

1. That I am submitting this self-declaration to [CONCERNED DEPARTMENT].

2. I solemnly declare that:
[DECLARED FACT / UNDERTAKING]

3. I certify that the information furnished by me is true, complete, and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect, I shall be liable for legal action under Sections 199 and 200 of the Indian Penal Code (or relevant provisions of Bharatiya Nyaya Sanhita) in addition to cancellation of my application/benefit.

Place: Chennai
Date: 2026-09-04

Signature of the Declarant: _______________________
Name: [NAME]
Mobile Number: _______________________

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