CM Scholarship Self Declaration Form PDF

CM Scholarship Self Declaration Form PDF download free from the direct link below.

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CM Scholarship Self Declaration Form - Summary

CM scholarship self declaration form is a mandatory undertaking submitted by students applying for Chief Minister scholarship schemes, including the Nabanna scholarship and state higher education grants. This document certifies that the applicant is enrolled in a recognized course, meets the family income limits, and does not receive any other government or private scholarship for the same academic year.

Key details in CM Scholarship Self Declaration Form

The form is a single-page declaration in English that requires basic student details and institutional verification. It contains these main sections:

  • Personal information including student name, guardian name, permanent address, and contact number.
  • Academic details covering current course name, course duration, academic session, and institution name.
  • Declaration confirming that the student has not received financial help from any other scholarship scheme.
  • Income statement confirming total annual family income from all sources.
  • Counter-signature block for the school principal, college dean, or university registrar with the official institute stamp.

CM scholarship Self Declaration Summary

Detail Information
Document name CM Scholarship Self Declaration Form
Issuing authority State Government / Chief Minister’s Relief Fund
Scheme type Education scholarship for post-matric, UG, and PG students
Purpose Declaration of single scholarship benefit and income verification
Verification Signature and seal of Head of Institution
Format Single-page printable form

Documents to Attach with the Form

Students must attach self-attested copies of these records when submitting the self declaration:

  • Current course admission receipt and fee slip.
  • Mark sheet and admit card of the previous qualifying examination.
  • Income certificate issued by a competent revenue authority.
  • First page of active bank passbook showing account number and IFSC code.

How to Fill and Submit the Form

STEP 1 – Print the form on clean A4 paper and fill your personal details in block letters.

STEP 2 – Enter your current course name, institution details, and exact academic session.

STEP 3 – Write your family’s annual income and sign with date and place.

STEP 4 – Take the form to your school, college, or university head for signature and official seal.

STEP 5 – Upload the scanned copy to the official scholarship portal or submit the hard copy along with your Nabanna scholarship application form or state CM relief fund application.

CM Scholarship Self Declaration Form PDF Download