Template

Self-Declaration Template

A general self-declaration made under a person's own signature to state a fact for official or verification purposes.

SELF-DECLARATION

A statement of fact declared by a person under their own signature, submitted to an authority or institution where a sworn affidavit is not mandatory.

I, [Full Name], son/daughter/wife of [Guardian Name], residing at [Full Address], holding Aadhaar No. [Aadhaar Number] / PAN [PAN Number], do hereby declare as under:

I hereby declare that [State the fact being declared - e.g., I am not employed elsewhere / the details furnished in my application are correct / I have no criminal case pending against me]. This declaration is made for the purpose of [Purpose] and is submitted to [Recipient Authority / Institution Name].

I understand that this declaration is made in good faith and that furnishing any false information may render me liable to appropriate action. The particulars stated above are true and correct to the best of my knowledge and belief.

_____________________
[Signature of Declarant]
[Name]
Place: [Place]    Date: [DD/MM/YYYY]

How to use: Fill the bracketed details, state the fact clearly in one line, sign, and submit on a plain sheet or your letterhead. A self-declaration usually does not require stamp paper or notarisation.

Before you use it — fill in / check

  • Full Name
  • Recipient Authority
  • Fact / Detail Declared
  • Date

How to use this template

  1. Read through and replace every [bracketed] or blank placeholder with your actual details.
  2. Delete any clause that doesn't apply and add anything specific to your situation.
  3. Click Print / Save as PDF to download, or Copy text to paste into your letterhead.
  4. Get it signed / stamped / notarised as required, and keep a copy for your records.

This is a general, editable template for convenience only — not legal advice. For anything material, have a professional review it. TaxClue isn't liable for how it's used.