DECLARATION FOR NON-CRIMINAL RECORD

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Your name

(Complete Residential Address)

(Day)

(District Name)

(Father's / Husband's Full Name)

(Full Name)

(ID Number)

(ID Type: Aadhaar/PAN/Passport)

(Month)

(Place)

(select applicable): □ employment verification □ visa application □ higher education admission □ government job/license application □ other: (Specify Other Purpose, if Applicable), before (Name of Authority/Organization).

(Signature)

(State Name)

(Tehsil Name)

(Village/Town/City)

(Year)

AFFIDAVIT FOR NON-CRIMINAL RECORD

I, {{full_name}}, S/o / D/o / W/o {{father_s_husband_s_full_name}}, aged (Age) years, R/o {{complete_residential_address}}, holding {{id_type_aadhaar_pan_passport}} No. {{id_number}}, do hereby solemnly affirm and declare as under:

1. That I am a permanent resident of {{village_town_city}}, Tehsil {{tehsil_name}}, District {{district_name}}, State {{state_name}}.

2. That I have never been arrested, prosecuted, convicted, detained, or involved in any criminal case, whether cognizable or non-cognizable, in any court of law or before any police authority in India or abroad.

3. That no First Information Report (FIR), criminal complaint, or case is pending or has ever been registered against me at any Police Station, Court, or other law enforcement/judicial authority as on the date of this affidavit.

4. That I have not been convicted, fined, or sentenced to imprisonment for any offence involving moral turpitude or otherwise under the Indian Penal Code/Bharatiya Nyaya Sanhita or any other law for the time being in force.

5. That I have not been debarred, blacklisted, or disqualified by any court, tribunal, government department, or professional body from holding any office, employment, license, or position.

6. That no proceedings, whether civil or criminal, are pending against me before any court, authority, or tribunal that would render me ineligible for the purpose stated below.

7. That this affidavit is being furnished for the purpose of {{select_applicable_employment_verificatio}}

8. That in case any information furnished herein is found to be false or incorrect at any stage, I shall be solely responsible for the consequences thereof and liable for appropriate legal/disciplinary action, including cancellation of the benefit/opportunity availed on the basis of this affidavit.

9. That the contents of this affidavit are true and correct to the best of my knowledge and belief, and nothing material has been concealed therefrom.

VERIFICATION

Verified at {{place}} on this {{day}} day of {{month}}, {{year}}, that the contents above are true and correct to the best of my knowledge and belief.

DEPONENT

Name: {{full_name}}

ID No.: {{id_number}}