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SELF DECLARATION (1st TIME)

I am , S/O /
D/O of .., Vill-.,
Post-, P.S-,
Dist-., PIN-.., do
here by declared that I have been reading in Class and
my current academic season is 20156, at .......................................

(School
e/College/ University name & address). I have not received any kind
of scholarship or financial assistance for my education from any
Govt. Department or any private agencies during this year.

...
Signature of applicant

..

Counter Singed by Head of the Institution with seal

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