Need a free Income Self Declaration PDF in Hindi and English? Download this printable blank sample — lines for applicant name, father/husband, age, address, occupation, approximate monthly/annual income, optional family income, purpose (loan/school/scholarship), place/date, signature, and optional witness. This is a personal self-declaration draft — not an official Income Certificate issued by Tehsildar / SDM / municipal body. Self-typed by Vista Hub.
People search “income self declaration Hindi”, “आय स्वघोषणा पत्र PDF”, “income declaration format for school”, or “self declared income letter” when they need a clean outline for school, scholarship, bank drafting, or local office use. Search results are full of blurry scans, half-finished samples, or pages that look too much like official Tehsildar stationery. This A4 pack stays deliberately plain: dotted fill-in lines, sans type, clear “sample blank” and “not official Income Certificate” labels — so you can practice drafting without mistaking it for a government-issued certificate.
What this is — and is not
This is a blank sample template — a personal income self-declaration draft format. It is not an official Income Certificate from Tehsildar, SDM, municipal body, or any other authority. No income-tax department seal, UIDAI mark, government emblem, fake stamp image, or QR pretending to be a gov portal. Print it, fill the blanks by hand. Where an office requires an official certificate, obtain that through the local process. Not legal advice.
When it helps
Use it when you want a focused self-declaration of approximate income: name, address, occupation, monthly/annual figures, purpose, place/date, and signature. Name-change wording is a different post — see 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 an official Income Certificate, (2) Hindi आय स्वघोषणा blank — applicant fields, monthly/annual income lines, optional family income, purpose, place/date, signature, optional witness, (3) English twin blank, (4) bilingual how-to and disclaimer. Black-and-white, print-friendly. No Ashoka Chakra, income-tax seals, UIDAI logos, or fake government QR codes.
Drafts often skip the purpose line or leave monthly vs annual 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 schools or banks accept a self-declaration; others insist on a Tehsildar/SDM certificate. Match the receiving office’s current checklist. Do not forge documents.
If you only need approximate figures for a personal draft and the office has not asked for a sealed certificate, start from page 2 (Hindi) or page 3 (English) and leave unused optional lines blank rather than inventing facts. Write clearly. Salary slips, ITR, or Form 16 remain separate papers when an office asks for them — this PDF does not replace those.
FAQ
Is this an official Income Certificate?
No. Sample personal self-declaration template — not a Tehsildar/SDM/municipal form.
What about ITR / salary slips?
Those are separate documents. This PDF only shows a self-declaration format.
For school / loan / scholarship?
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 an official Income Certificate. Follow local authority and document rules. Vista Hub is not responsible for outcomes from use.
