I , ARSHAD ULLAH KHAN Son of Shri SHARIF ULLAH KHAN presently
residing at NEAR URDU SCHOOL , TAKIA GOPALGANJ SAGAR (M.P) solemnly
affirm and say as follows That my annual income (including income of the spouse) from all sources ( including salary , business , rent , commission , Pension , income from land etc.) in the preceding year ending the 31 st arch , !"1# is $s 2,40,000/- (Two L!"# Fo$%&' &"o$#()# O(*') and I do not belong to the creamy layer as stipulated in the %o&ernment of India '(PT )ircular *o. 3+"33,-,!""#./stt ($es) dated 1#.1".!""# as amended from time to time. That the statements made in the foregoing paragraphs are true to my 0nowledge. I ma0e myself personally responsible for the accuracy of the facts and figures furnished. I further underta0e that in the e&ent of the particular gi&en in this declaration being found false, I shall refund to the President of India '(123/ the amount of the scholarship to the said scholar (s) and the %o&ernment4s decision on whether the declaration of particulars is false shall be final and binding one me. S+,(&$%- o. P%-(& N/- +( F$**