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Format of Undertaking for Handicapped Pension

Birth Certificate Affidavit FormatThis is certify that the under mentioned particulars are correct and true solemnly declare that the documents submitted by me are true and details is given as under: –

NAME                                               :    _________
FATHER’S NAME                         :    _________
RESIDENTIAL ADDRESS          :    _________
CATEGORY                                     :    HANDICAPPED
ELIGIBILITY                                 :    I AM HANDICAPPED PERSON ABOVE _________

This is also certify that I have no source of incomes and direly need of pension recommended by the _________  and I have not applied/not taking any pension from any Organization i.e. _________  Government/Central Government /any _________  except this pension I am also residing _________  for more than _________  years.

All the above details are true and correct and nothing has been concealed if any instant is noticed in this regards i will be fully responsible for the same.


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