Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697804066292.pdf (India)
SELF DECLARATION OF FAMILY INCOME in case of single I, ______________ ____________Father/Mother( parent) of _______________ __________, resident of ( full address) ____________________________________________ ________________________________________________________ ________________________________________________________ hereby declare as under : a) I am Citizen of India.

b) That annual family income from all sources is Rs.

____________ ( in words also)_________________________________________.
c) I declare that I /my spouse /both is/are earning member(s) in my family.

2.

I certify that the above information given by me is true.

3.

In case this information is found false , the financial assistance awarded to me may be recovered with penality interest and I am liable to a legal action against me in accordance with law.

Signature of Parent.

Note: For SC/ST/OBC/Min Students