FAMILY ID (PARIVAR PEHCHAN PATRA) INCOME / MEMBER CORRECTION SELF-DECLARATION
Executed at Panipat on 1 April 2026.
I, Suresh Kumar, son of Sh. Ram Kumar, resident of House No. 218, Sector 12, Panipat, Haryana 132103, holding Aadhaar number 7777 8888 9999, the head of family or an authorised adult member recorded against Family ID 01-234567 (the "Deponent" or "I"), do hereby solemnly declare as follows:
- THE CORRECTION SOUGHT
1.1 Correction of the family's declared annual income is required in the Family ID / Parivar Pehchan Patra record identified above.
1.2 The annual family income currently recorded against this Family ID is ₹3,60,000 (Rupees Three Lakh Sixty Thousand only), which is incorrect.
The correct annual family income is ₹1,80,000 (Rupees One Lakh Eighty Thousand only).