www.scholarships.net.in

Organization : Directorate of Minorities
Service Name : Self Declaration of Income Certificate for Prematric/Post Matric & Merit Cum Means Scholarship 2015-16
Applicable State: Karnataka

Website : http://gokdom.kar.nic.in/English/Default.aspx?PageNo=10

Self-Declaration of Income Certificate for Pre-Matric Scholarship 2015-16

1st to 10th Standard Format :

Self Declaration Of Family Income Under Pre Matric Scholarship Scheme (For Class I To X) Of Ministry Of Minority Affairs, Government Of India
(To be given by the Parent/Legal Guardian)

I, ____________________________Son/Daughter/of___________________________ Resident of (full address)__________________________________________________ ______________________________________________________________________

do hereby solemnly affirm and declare as under :-
a) That I am citizen of India.

b) That my son/daughter/ward namely Master/Kumari _______________________ is a student of class _______ in ______________________________________ (name & address of school) _________________________________________ at ___________________ (District & State).

c) His/Her enrollment no. in school is _____________________for the academic Session _________.

d) That annual income of my family from all sources is Rs ………………(in words also) ……………………………………………………………………………………

e) I declare that I/my wife/ both* am/are earning Member(s) in my family.

2. I certify that the above information given by me is true.

3. In case this information furnished by me is found false, the financial assistance awarded to my ward may be recovered with penal interest and I will be liable to a legal action against me in accordance with law.

Signature of Parent/Legal Guardian:__________________________
Name of Parent/Legal Guardian: ____________________________

*Strike off the non-applicable part in the underlined clause above.

Download Here : https://www.scholarships.net.in/uploads/2808-Pre.pdf

Self-Declaration of Income Certificate for Post-Matric & Merit Cum Means Scholarship 2015-16:

Format:

Self Declaration Of Family Income Under Post Matric Scholarship (Class XI And Above)/Merit-Cum-Means Scholarship Scheme Of Ministry Of Minority Affairs, Government Of India

I, ____________________________Son/Daughter/of___________________________ Resident of (full address)__________________________________________________ ______________________________________________________________________

do hereby solemnly affirm and declare as under :-
a) That I am citizen of India.

b) That annual income of my family from all sources is Rs ………………(in words also) ……………………………………………………………………………………

c) I declare that my father/mother/both* is/are earning Member(s) in my family.

2. I certify that the above information given by me is true.

3. In case this information furnished by me is found false, the financial assistance awarded to me may be recovered with penal interest and I will be liable to a legal action against me in accordance with law.

Signature of Candidate:__________________________

Name of Candidate: ____________________________

Name of School/Institution:_______________________

Enrollment No. in the School/Institution:_____________

Academic Year:________________________________

*Strike off the non-applicable part in the underlined clause above.

Download Here : https://www.scholarships.net.in/uploads/2808-PMS&MCM.pdf