Self-Declaration Format Sample

A self-declaration form is a document that an individual uses to declare something about themselves. This can include their identity, qualifications, experiences, or other personal details.

There are many different templates and formats for self-declaration forms, as the specific information and requirements for the state will depend on its purpose. Some common elements that may be included in a self-declaration form include:

  • Personal information: This could include the individual’s name, address, contact details, and other identifying information.
  • Statement of declaration: This is a statement in which the individual declares that the information provided on the form is accurate and true to the best of their knowledge.
  • Details of the declaration: This section of the form will vary depending on the purpose of the state. For example, if the document declares qualifications or work experience, it may include a list of the individual’s relevant qualifications or job titles and duties.
  • Signature: The form should include a space for the individual to sign and date the form, indicating that they have read and understood the content and are declaring their own free will.

It’s important to carefully read and follow any instructions provided with the self-declaration form and to provide accurate and truthful information. Making false declarations on a self-declaration form can have serious consequences.

Here are the Examples of Self Declaration Format

Here is a general format that you could use for a self-declaration format:


[Name of Organization] Self-Declaration Form

Personal Information:

  • Name: [Your name]
  • Address: [Your address]
  • Contact Details: [Your phone number and email address]

Statement of Declaration: I, [Your name], declare that the information provided on this form is accurate and true to the best of my knowledge.

Details of Declaration: [In this section, provide the specific information that you are declaring. For example, if you are declaring your qualifications or work experience, you could include a list of your relevant qualifications or job titles and duties.]

Signature: [Your signature] Date: [Date]

This is just a general template and you may need to add or remove information or sections based on the specific requirements of the form and the purpose for which it is being used.


[Name of Organization] Verification Statement Form

Purpose of Verification: [In this section, describe the specific information or item being verified. For example, “Verification of employment history” or “Verification of educational qualifications”.]

Verification Statement: “I, [Your name], verify that the information provided in this document is accurate and true to the best of my knowledge. I understand that making false statements or providing false information in this document is a criminal offense and could result in legal consequences.”

Signature: …………………. Date:……………

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