GOVERNMENT OF WEST BENGAL
Personnel & Administrative Reforms department
( Administrative Reforms Cell)
‘NABANNA’
325, Sarat chatterjee Road
Howrah-711102
Memo No .1275 / PAR(AR) /O /3M-23/2014
Dated 13th November, 2014
ORDER
1- The adoption of the provisions of ‘‘self- attestation’’ in lieu of ‘‘attestation by gazetted officers and others’’ and ‘‘self- declaration’’ in lieu of ‘‘affidavit’’ has been under consideration of the state government for some time.
2- After careful consideration, the Governor is pleased to order adoption of ‘‘selfattestation’’ and ‘‘self- declaration’’ in the following manner:
Read the Govt Order-
Adoption of the provision of self-attestation in lieu of Attestation by gazetted officers and others and self-declaration in lieu of Affidavit
Self-Declaration Format
Space for Photograph
I………………………………, Son / Daughter of Shri ……………………………………age…………….years, resident of …………………………………………………in the District of …………………, West Bengal, do hereby declare that the information given above and in the enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein. I am well aware of the fact that if the information given by me is proved false / not true at any point of time, I will have to face punishment as per any provision of Law for the time being in force as well as the benefit availed of by me or the benefit accrued to me shall be summarily cancelled.
Date:
Signature of the Applicant:
Place :
