From The Secretary, Rajya Sainik Board Haryana, Sainik Bhawab ...

-27-SPECIMEN OF AFFIDAVIT TO BE GIVEN BY FATHER/GUARDIAN OF THESTUDENT ON 10 PAISE COURT PAPER AND TO BE ATTESTED BY ANOATH COMMISSIONERI____________________S/o_______________________Caste ______________Age______________________ resident of __________________ Father/Guardian of(Name of Student) for which I am Applying for the grant of stipend out ofAmalgamated Fund do hereby solemnly affirm and declare.1. That I am the owner of ___________________________ acres of land outof which ___________________________ acres is irrigated and_______________acres is un-irrigated. I am also a tenant of__________________acres of land which is irrigated/un-irrigated thedetails of the land is as under :2. That my present total income is Rs. ______________________ annuallyfrom all sources and the details are given below :-(i) Income from pay, DA and other allowances @ Rs.__________________ P.M. ___________Annually (Place of service).(ii) Pension/Children Allowance/Jangi Inam under H.O. No.__________________________ Annually (Class) Pension.(iii) Income from land Annually(iv) Income from labour and other Annuallysource.3. That my no other son or daughter is getting stipend from AmalgamatedFund or from other sources.4. That I have not ever served/have served in I.N.A.5. That I have applied for the grant of stipend to the following:-6. That my daughter is not married (In case of girl student)Name of student School Class Whether availing stipend from other sourceVerificationDepositVerified at on this day of thatthe contents of the affidavit are true to the best of my knowledge and belief and no part ofit is false and nothing has been concealed there from.Deponent