The Manager,
______ (Name)
______ (Address)

Date: __/__/____ (DD/MM/YYYY)

Subject: Self Declaration of the Current ___________ (Residence / Communication / Overseas) Address


I __________ S/o D/o W/o/ residing at ________ hereby confirm my current communication address as below:

Name: _____________
Address Line 1: _____________
Address Line 2: _____________
Address Line 3: _____________
City: _________________
State: ________________
Country: ______________
Pin code: ______________

I request you to kindly update my above mentioned address in __________ (purpose of self declaration) in ________ (where updation in required)

I am attaching self-attested copy of current communication /permanent address proof as required for updating the record. I also confirm that the attached copy of proof is valid and in the event of a change in address due to ____________ (reason of address change). I will intimate within _______ (days/ weeks/ months) of such a change.

Thanking You,

Yours Truly,

Signature: _____
Name: ______
Contact: _____

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