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Format I SELF DECLARATION OF MINORITY COMMUNITY BY CANDIDATE FOR SUPPORT FOR MINORITY STUDENTS CLEARING PRELIMS CONDUCTED
BY UPSC, SSC, STATE PSC.
DECLARATION
Son/Daughter/of Resident of
hereby declare that I belong to the
(Muslims/Sikhs/Christians/ Buddhists/Jains and Zoroastrians (Parsis) which is a notified minority community as per Section 2(c) of National Commission for Minorities Act, 1992).
Date: Place:
Signature of Candidate: Name of Candidate:
Format II
SELF DECLARATION OF FAMILY INCOME FOR SUPPORT FOR MINORITY STUDENTS CLEARING PRELIMS CONDUCTED BY UPSC,
SSC & STATE PSC.
_Son/Daughter of
Resident of
do hereby solemnly affirm and declare as under : 1. That I am citizen of India. 2. That my Father's/Mother's name is 3. That my annual Family income from all sources is Rs.in figures) (in words). 4. I declare that my Father/Mother/Both* is/are earning member (s) in my family. 1 certify that the above information given by me is true.
In case of false declaration by me, the financial assistance awarded to me may be recovered with penal interest and legal action in accordance with Law may be initiated.
Signature (Name: Name of Examination Passed: Roll No.:
Year of Examination: *Strike off the non-applicable part in the underlined clause above.
writy Benefits
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