Kaagazaat

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Family ID (PPP) Income/Member Correction Self-Declaration (Haryana)

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  1. You, the declarant
  2. The correction
  3. How you are filing this

Step 1 of 3

You, the declarant

For example: Suresh Kumar

For example: son of Sh. Ram Kumar

Your addressNeeded

For example: 7777 8888 9999

For example: 01-234567

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FAMILY ID (PARIVAR PEHCHAN PATRA) INCOME / MEMBER CORRECTION SELF-DECLARATION

Executed at __________ on __________.

I, __________, __________, resident of __________, holding Aadhaar number __________, the head of family or an authorised adult member recorded against Family ID __________ (the "Deponent" or "I"), do hereby solemnly declare as follows:

  1. THE CORRECTION SOUGHT

1.1 __________ is required in the Family ID / Parivar Pehchan Patra record identified above.

  1. SUPPORTING DOCUMENT

2.1 In support of the correction declared above, I rely on and am submitting: __________

  1. HOW THIS DECLARATION IS BEING FILED

3.1 I am submitting this declaration, together with the supporting document referred to above, __________.

  1. DECLARATION

4.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to this correction. I make this declaration on behalf of the family recorded against the Family ID stated above, with the knowledge and consent of its adult members.

4.2 I am aware that the Citizen Resources Information Department, Government of Haryana verifies a correction of this kind against its own records and the supporting document before approving it, that the request may be referred to a local verifier before approval, and that furnishing false information in connection with the Family ID / Parivar Pehchan Patra database may lead to rejection of this request and to such other action as the Department finds appropriate.

VERIFICATION

Verified at __________ on __________ that the contents of paragraphs 1 to 4 above are true and correct to my own knowledge, and that nothing material has been concealed.

DEPONENT

Signature: ______________________________
__________

The rest stays out of view until every answer is in.

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FAMILY ID (PARIVAR PEHCHAN PATRA) INCOME / MEMBER CORRECTION SELF-DECLARATION

Executed at __________ on __________.

I, __________, __________, resident of __________, holding Aadhaar number __________, the head of family or an authorised adult member recorded against Family ID __________ (the "Deponent" or "I"), do hereby solemnly declare as follows:

  1. THE CORRECTION SOUGHT

1.1 __________ is required in the Family ID / Parivar Pehchan Patra record identified above.

  1. SUPPORTING DOCUMENT

2.1 In support of the correction declared above, I rely on and am submitting: __________

  1. HOW THIS DECLARATION IS BEING FILED

3.1 I am submitting this declaration, together with the supporting document referred to above, __________.

  1. DECLARATION

4.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material to this correction. I make this declaration on behalf of the family recorded against the Family ID stated above, with the knowledge and consent of its adult members.

4.2 I am aware that the Citizen Resources Information Department, Government of Haryana verifies a correction of this kind against its own records and the supporting document before approving it, that the request may be referred to a local verifier before approval, and that furnishing false information in connection with the Family ID / Parivar Pehchan Patra database may lead to rejection of this request and to such other action as the Department finds appropriate.

VERIFICATION

Verified at __________ on __________ that the contents of paragraphs 1 to 4 above are true and correct to my own knowledge, and that nothing material has been concealed.

DEPONENT

Signature: ______________________________
__________

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