General Affidavit

To declare income, residence, date of birth or any fact

Sample details are filled in. Replace them with yours.

Your full name

Gender

Father’s / husband’s name

Age (years)

Occupation

Full address

Last 4 digits of Aadhaar

What you declare (one point per line)

Purpose

Place

Date

Stamp paper / e-stamp portion
(print on stamp paper, leaving this top area blank)

AFFIDAVIT

(for scholarship application)

I, Ramesh Kumar, son of Late Suresh Prasad, aged about 34 years, occupation Self-employed, resident of House No. 12, Lalpur, PS Lalpur, District Ranchi, Jharkhand – 834001, Aadhaar No. XXXX XXXX 4521, do hereby solemnly affirm and declare as under:

That I am a permanent resident of the above address and a citizen of India.
That My annual income from all sources is ₹1,80,000 (Rupees one lakh eighty thousand only).
That No member of my family is in government service.
That I have been permanently residing at the above address for the last 10 years.
That this affidavit is being given for scholarship application and shall not be used for any other purpose.
That all the facts stated in this affidavit are true and correct to the best of my knowledge and belief.
That if any fact stated herein is found to be false in future, I shall be legally responsible for the same.

DEPONENT
(Ramesh Kumar)

VERIFICATION

I, the above-named deponent, do hereby verify that the contents of paragraphs 1 to 7 of this affidavit are true and correct to my personal knowledge and belief, that nothing material has been concealed and no part of it is false.

Verified at Ranchi on 23-10-2026.

DEPONENT

Identified and sworn before me
Notary / Oath Commissioner

(Seal & signature)

Print on ₹10/₹50 stamp paper and get it attested by a Notary or Oath Commissioner.

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