Self Declaration Form
A plain signed declaration of facts, for forms, KYC and applications.
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I, [your name], aged [age] years, son / daughter of [parent name], residing at [your address], do hereby solemnly declare as under.
I declare [what you are declaring].
I make this declaration for submission to [authority or organisation] and confirm that the contents are true and correct to the best of my knowledge and belief. Nothing material has been concealed. I am aware that furnishing false information may render me liable to action under law.
What is a Self Declaration Form?
A self-declaration — often asked for as a self declaration form — is a signed statement of fact about yourself, made where no third party can certify the point for you — that you are unemployed, that a name on two documents refers to the same person, that you have no other income, that a lost document has not been misused.
Offices ask for a self-declaration when the fact is real but nobody else is in a position to confirm it. You are the source, so the document's whole value rests on your signature and on the consequences of signing it falsely.
That is the part people miss. A self-declaration is not a formality. Signing a false one can cost you the benefit or approval you applied for, and where it is submitted to a public authority it can carry penalties under the local law on false statements. Write only what you know to be true, and write it narrowly.
A self-declaration on plain paper is enough for most purposes. Where the receiving authority wants it sworn, they will ask for an affidavit instead, which is a different document — sworn before a notary or oath commissioner and, in some jurisdictions, executed on stamp paper.
What to put in a Self Declaration Form
These are the details this template asks for. Anything left blank is marked in red on the preview so you can see what is still missing.
| Field | What goes in it |
|---|---|
| Issued to (full name) | For example: James Whitfield |
| Father's / mother's name | For example: K. Subba Rao |
| Age | For example: 34 |
| Their address | For example: 588 Kinnear Road, Columbus, OH 43212 |
| What are you declaring? | For example: that the details furnished by me in the application form are true and correct to the best… |
| Issuing organisation | For example: Maple Grove Homeowners Association |
How to write a Self Declaration Form
Head it clearly
Title it 'Self-Declaration' or 'Declaration', and state who you are: full name, parentage or spouse name if the office uses it, address, and the identity number they hold for you.
Declare one fact at a time, numbered
Number each statement. One fact per line, in plain language, with dates and figures where they apply. Numbered statements are easier for a clerk to check and harder to misread.
Say what the declaration is for
Name the application, scheme, office or purpose. A declaration made for one purpose should not float free into another.
Add the truth statement
Close with a line confirming that the contents are true to the best of your knowledge and belief and that nothing material has been concealed. This is the line the receiving office looks for.
Sign, date and place
Sign by hand, and add the place and date. If the office requires a witness or notarisation, leave room for it — do not sign in advance of a notary who has to watch you sign.
What to write in a self declaration: common examples
- Write the fact as a short clause that starts with ‘that’, because the form on this page puts your words straight after ‘I declare’.
- For a name spelt differently on two documents, you might declare ‘that the names Ananya Rao and A. Rao in my school and bank records both refer to me’.
- For a scholarship or fee concession, you might declare ‘that I am not employed and have had no income from salary since 1 October 2026’.
- For a change of address, you might declare ‘that I have lived at the address above since 5 October 2026’, if the office accepts a declaration as address proof.
- For a lost item, you might declare ‘that my original college identity card has been lost and has not been handed to anyone else’.
- For an application, you might declare ‘that the details I have given in my application form are true and correct’.
Common mistakes
- Declaring things you cannot personally know, rather than only your own circumstances.
- Writing a broad statement where a narrow one was asked for.
- Leaving out the purpose, so the declaration can be reused out of context.
- Omitting the truth-and-no-concealment line.
- Treating it as a formality — a false declaration is the kind of thing that surfaces later.
Frequently asked questions
Is a self-declaration legally valid?
It is a signed statement you can be held to. Whether it is sufficient for a given purpose depends on what that office accepts — some require an affidavit sworn before a notary instead. The office’s instructions or its application form often say which one it needs, so check them before you prepare either.
Does a self-declaration need stamp paper?
Generally no. Plain paper is standard. Stamp paper is associated with affidavits and certain undertakings, and the requirement varies by jurisdiction. If an office does ask for stamp paper or notarisation, follow its instructions and confirm the value with that office, because stamp rules differ from State to State.
What is the difference between a self-declaration and an affidavit?
An affidavit is sworn or affirmed before a person authorised to administer oaths, and false statements in one carry heavier consequences. A self-declaration is signed by you alone, usually on plain paper, with no notary. Many offices accept a self-declaration for routine facts and ask for an affidavit only for weightier matters; the office’s own rules decide.
Can a self-declaration be typed?
Yes. Typed and printed is normal and usually preferred. The signature must be handwritten unless the office accepts a verified digital signature, so sign the printed copy in ink. For an online application, check whether the portal wants a signed scan of the page or its own declaration.
Does it need witnesses?
Only if the receiving office asks. Most routine declarations do not. Where witnesses are needed, the office will usually say how many and what they must add, such as their names, addresses and signatures. Leave space below your own signature for them, and sign in front of them if the office asks for that.
This page explains general practice and is not legal advice. Requirements differ between countries and, in some cases, between states — check what applies where the document will be used.