Need a free Address Proof Declaration PDF in Hindi and English? Download this printable blank sample — lines for applicant name, father/husband, age, current full address, previous address optional, since-when residing, purpose (bank/school/rent), place/date, signature, and optional witness. This is a personal self-declaration draft — not official address proof accepted by all offices. Offices often want original utility bill / Aadhaar / passport. Self-typed by Vista Hub.
People search “address proof declaration Hindi”, “पता प्रमाण स्वघोषणा PDF”, “self declaration of address format”, or “address affidavit blank” when they need a clean outline for bank, school, rent, or local office drafting. Search results are full of blurry scans, half-finished samples, or pages that look too much like Aadhaar cards, utility bills, or government residence certificates. This A4 pack stays deliberately plain: dotted fill-in lines, sans type, clear “sample blank” and “not official address proof” labels — so you can practice drafting without mistaking it for government-issued proof.
What this is — and is not
This is a blank sample template — a personal address self-declaration draft format. It is not official address proof accepted by all offices. No Aadhaar printout, fake utility bill, government residence certificate, UIDAI/ITD form, Ashoka Chakra, fake stamp image, or QR pretending to be a gov portal. Print it, fill the blanks by hand. Where an office requires original utility bill / Aadhaar / passport, produce those originals. Not legal advice.
When it helps
Use it when you want a focused self-declaration of current address: name, father/husband, age, current full address, previous address optional, since-when residing, purpose, place/date, and signature. Income self-declaration is a different post — see Income Self Declaration Format PDF. Name-change wording: Name Change Affidavit Format PDF. For other Free PDF blanks browse Affidavit Format PDF · Leave Application Format PDF · Biodata Format PDF · Experience Letter Format PDF.
What’s inside the PDF
Four A4 pages: (1) Vista Hub cover with a clear sample banner and note that this is not official address proof, (2) Hindi पता प्रमाण स्वघोषणा blank — applicant fields, current/previous address, since-when residing, purpose, place/date, signature, optional witness, (3) English twin blank, (4) bilingual how-to and disclaimer. Black-and-white, print-friendly. No Ashoka Chakra, UIDAI logos, fake bills, or fake government QR codes.
Drafts often skip the “since when residing” line or leave purpose unclear. Those spots are marked in advance so one printout supports repeated personal drafting. Keep the PDF on your phone too — if a printer is unavailable, copy the layout onto plain paper.
Remember: some offices accept a self-declaration; many insist on original utility bill / Aadhaar / passport. Match the receiving office’s current checklist. Do not forge documents.
If you only need a personal draft and the office has not asked for sealed government residence proof, start from page 2 (Hindi) or page 3 (English) and leave unused optional lines blank rather than inventing facts. Write clearly. Aadhaar, passport, and utility bills remain separate papers when an office asks for them — this PDF does not replace those.
FAQ
Is this official address proof?
No. Sample personal self-declaration template — not official address proof accepted by all offices.
What about Aadhaar / utility bill / residence certificate?
Those are separate documents. This PDF only shows a self-declaration format — not a fake bill or Aadhaar printout.
For bank / school / rent?
Purpose line is blank — fill by hand. Acceptance depends on office rules.
Hindi and English both included?
Yes — separate blank pages.
Can I print it?
Yes — A4 print-ready. B&W is enough. Also readable on phone.
Is it a scan?
No. Self-typed by Vista Hub.
Note
Educational / personal drafting sample only. Not legal advice or official address proof. Follow local authority and document rules. Vista Hub is not responsible for outcomes from use.
