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Address proof self-declaration format

A signed statement of where you live, for people who do not have a bill or rent agreement in their own name, for example people living with family or in a rented room.

This is a sample, not an official form. Offices and states differ. Check this text with the issuing office before you sign, and use the office's own form if it gives you one. Govt License does not give legal advice.

What it is for

Use it when an office accepts a self-declaration of address, or when you live with a relative and need their consent letter along with your own declaration.

Who signs

You sign. If you live at someone else's address, that person signs the consent line too.

Used for

Attach these

  • Your ID proof
  • The host's address proof and ID copy, if you live with a family member or friend
  • Any other address proof you have

Fill in the blanks

Type in the boxes and the sample updates. Anything you leave empty stays a blank line you can write by hand after printing. Nothing you type is sent anywhere.

SELF-DECLARATION OF ADDRESS I, ________, son, daughter or wife of ________, aged ________ years, declare as follows: 1. My present address is: ________. 2. I have been living at this address since ________. 3. I do not have a document in my own name that shows this address. The house belongs to ________, who is my ________, and I live there with permission. 4. I am giving this declaration for the purpose of ________. 5. The above information is true and correct. I understand that if it is found to be false, my application can be rejected and action can be taken as per law. Date: ________ Place: ________ Signature of declarant: ______________________ Name: ________ CONSENT OF THE HOUSE OWNER OR HOST I, ________, confirm that the above person lives at the above address with my permission. A copy of my ID proof is attached. Signature: ______________________

Common questions

Will every office accept a self-declaration of address?
No. Some accept it, some do not. Many ask for one of their listed proofs, such as a bill or Aadhaar. Check the list for the document you are applying for.
Do I need the host's papers too?
Often yes. A copy of the host's ID and a recent bill or property paper makes the declaration stronger.
Does it need a notary?
Usually it is on plain paper. If the office asks for an affidavit instead, use the residence affidavit format and get it notarised.

Aksar pooche jaane wale sawaal

Yahi jaankari, Hinglish mein.

Address proof na ho to self declaration kaise likhein?
Is page ka format copy karein, apna pata aur kab se rah rahe hain bharein, aur jiske ghar mein rah rahe hain unka consent sign karwayein. Saath mein unka ID aur bill ki copy lagayein.
Kya har office self declaration of address maanta hai?
Nahi. Kuch maante hain, kuch nahi. Jis document ke liye apply kar rahe hain uski address proof list dekhein.