Self Certificate Template UK

The Self Certificate Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring both editable and printable templates.

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Sample

Self Certificate Template UK

Editable – Printable

PDF – 1 PDF – 2

Self-Certificate Template UK

1. Individual Information


2. Declaration of Employment


3. Reason for Self-Certification

4. Dates of Absence

5. Additional Information

6. Signature and Confirmation

7. Declaration and Signatures


PDF

WORD

Examples

Self Certificate Template UK (1)
Self Certification Statement:
I, [Name of the Individual], hereby declare that I am [Position, e.g., a sole trader] and that I operate under the name of [Business Name]. This self-certification confirms the accuracy of the information provided for tax purposes.
Personal Information:
Full Name: [Name of the Individual]
Date of Birth: [Date of Birth]
National Insurance Number: [NI Number]
Address: [Address]
Phone Number: [Phone Number]
Email: [Email Address]
Business Information:
Business Registration Number: [Registration Number]
Nature of Business: [Description of Business Activities]
Business Address: [Business Address]
Declaration:
I declare that the income received in the tax year [Tax Year, e.g., 2022/2023] amounted to [Total Income], and my allowable expenses totaled [Total Expenses].
Signature:
I affirm that the information provided is true to the best of my knowledge and belief.
[Signature of the Individual]
[Name of the Individual]
Date: [Date]
Self Certificate Template UK (2)
Self Certification Declaration:
I, [Name of the Individual], confirm that I am a [Position, e.g., self-employed contractor] and am providing this self-certification for the tax period [Tax Year, e.g., 2022/2023].
Personal Details:
Full Name: [Name of the Individual]
Date of Birth: [Date of Birth]
National Insurance Number: [NI Number]
Home Address: [Address]
Contact Number: [Phone Number]
Email Address: [Email Address]
Business Details:
Company Registration Number: [Registration Number]
Type of Business: [Description of Business Activities]
Company Address: [Business Address]
Income Statement:
For the tax year [Tax Year], I state that my total income was [Total Income] and my allowable expenses were [Total Expenses], resulting in a net income of [Net Income].
Certification:
I understand that providing false information may lead to penalties under the law. This self-certification is a true reflection of my financial status.
[Signature of the Individual]
[Name of the Individual]
Date: [Date]

Printable

PDF – 1 PDF – 2

Self Certificate Template UK