Borang Pengesahan Pendapatan: How to Fill, Uses & Download Template

Many Malaysians do not receive monthly salary slips, and it is common among self-employed individuals, freelancers, small business owners, gig workers, hawkers, and parents who do not have a fixed income.

However, many official applications still require proof of income, including school assistance, government aid, subsidies, education financing, and other financial support applications.

So, Borang Pengesahan Pendapatan is important. The form helps applicants declare their income officially when they do not have a payslip or formal income statement.

For the form to be accepted, the income details must be filled in properly and verified by an authorised person. A self-declared income without proper verification may not be accepted for official use.

This guide explains what Borang Pengesahan Pendapatan is, who needs it, what information should be included, who can verify it, how to fill it correctly, and what mistakes to avoid.

What is Borang Pengesahan Pendapatan?

Borang Pengesahan Pendapatan is an official income declaration form used by individuals who do not have salary slips or fixed monthly income.

The form allows applicants to declare how much they earn in writing. It is commonly used when an agency, school, university, or government body needs proof of income before approving an application.

This form is usually needed by:

Self-employed individuals
Small business owners
Freelancers
Parents or guardians without fixed income
Informal workers
Individuals without official payslips

Borang Pengesahan Pendapatan is often used for:

Government aid applications
PTPTN-related applications
School assistance
Subsidy applications
Education support programmes
Other official applications that require income proof

For example, parents who run a small stall or work independently may not have a payslip. Instead of submitting a salary slip, they may need to complete Borang Pengesahan Pendapatan and get it verified by an authorised person.

Why Borang Pengesahan Pendapatan is Important

Borang Pengesahan Pendapatan is important because it acts as formal proof of income for people who do not have payslips.

Helps Applicants without Salary Slips

Not everyone works under a company payroll system. Some people earn daily, weekly, seasonally, or through small business income. This form gives them a proper way to declare their earnings for official applications.

Supports Financial Assistance Applications

Many financial assistance programmes need to know the applicant’s household income before approving aid. Borang Pengesahan Pendapatan helps the relevant party assess whether the applicant meets the income requirement.

Reduces Misunderstanding During Application Review

Without a written income declaration, the application reviewer may not clearly understand the applicant’s financial situation. A properly completed form helps explain the income source and monthly income more clearly.

Provides Verified Income Information

The form is not only filled by the applicant. It also needs to be verified by an authorised person. This verification makes the declaration more reliable for official use.

Helps Prevent False or Misleading Income Claims

Because the form includes a declaration and verification section, applicants are reminded to provide accurate income information. This helps protect the integrity of financial aid and support programmes.

Information Needed in Borang Pengesahan Pendapatan

Although the format may differ depending on the organisation, most Borang Pengesahan Pendapatan templates require similar information.

Personal Information

This section identifies the applicant or the person declaring income. It usually includes:

Full name
IC number
Address
Phone number

The details should be written clearly and match the applicant’s official identification documents.

Employment or Work Information

This section explains how the applicant earns income. It may include:

Type of work
Business activity
Source of income
Occupation

For example, the applicant may state their occupation as small trader, food seller, freelancer, e-hailing rider, hawker, or self-employed worker.

The occupation should be written clearly so the verifying officer and receiving institution can understand the income source.

Income Details

This is one of the most important sections of the form. It may include:

Gross monthly income
Net monthly income
Total monthly income
Other income, if relevant

Applicants should write a realistic monthly income amount. If income changes from month to month, they can use a reasonable monthly estimate.

Applicant Declaration

The applicant must declare that the information given is true. Some forms mention a declaration under Akta Akuan Berkanun 1960.

This section usually requires:

Applicant’s signature
Date
Confirmation that the income information is true

Applicants should read this section carefully before signing.

Verification Section

The form must be verified by an authorised person. This section usually includes:

Name of verifier
Position or official role
Signature
Official stamp
Date of verification

Without proper signature and official stamp, the form may not be accepted.

Who Can Verify Borang Pengesahan Pendapatan?

Borang Pengesahan Pendapatan must be verified by an authorised person. The applicant, parent, or guardian cannot simply verify the form themselves.

The form may be verified by qualified individuals such as:

Pegawai Kerajaan Gred 41 ke atas
Pesuruhjaya Sumpah
Ketua Kampung
ADUN
Ahli Parlimen
Guru Besar or Pengetua
Police officer ranked ASP and above
Lawyer or legal practitioner
Penghulu
Ketua Kaum
Tuai Rumah
Wakil rakyat
Pegawai tentera berpangkat Kapten ke atas
Jaksa Pendamai
Pengerusi JKKK

The purpose of verification is to confirm that the income declaration is reasonable and can be trusted for official use.

Applicants should check the requirements of the specific agency or institution before submitting the form, because some applications may only accept verification from certain authorised persons.

Who Usually Uses This Form?

Borang Pengesahan Pendapatan is commonly used by Malaysians who need to prove income but do not have formal payslips.

This may include:

Parents Applying for School Assistance

Parents or guardians may need this form when applying for school-related financial assistance, especially if they do not have a fixed salary.

PTPTN Applicants

For education financing purposes, some applicants may need to provide family income information. If the parent or guardian does not have a payslip, an income verification form may be required.

B40 Households

Households applying for financial aid or subsidies may need to declare income to show eligibility.

Small Traders and Hawkers

Small traders, pasar malam sellers, hawkers, and microbusiness owners often do not have formal payslips, so this form can help them declare monthly income.

Gig Workers

Gig workers such as Grab riders, delivery riders, or other platform-based workers may have variable income. Borang Pengesahan Pendapatan can help explain their estimated monthly earnings.

Freelancers

Freelancers may not receive fixed monthly salaries. This form can be used when they need an official income declaration for applications.

Informal workers

Individuals who earn income through informal work may also use this form if they do not have salary slips or employer-issued income documents.

How to Fill Borang Pengesahan Pendapatan

Filling the form correctly is important because incomplete or inaccurate forms may delay the application.

Step 1: Fill in Personal Information

Start by writing the applicant’s full name, IC number, address, and phone number. Make sure the details are accurate and match official records.

Step 2: State the Occupation Clearly

Write the type of work or business activity clearly. Avoid vague answers such as “business” or “self-employed” only.

Instead, be more specific. For example:

Food stall operator
Freelance graphic designer
E-hailing driver
Delivery rider
Market trader
Online seller
Part-time cleaner

This helps the receiving institution understand the source of income better.

Step 3: Write the Monthly Income Honestly

Declare the estimated monthly income as accurately as possible. If income is not fixed every month, use a reasonable average.

For example, if income changes depending on customer orders, sales, or working hours, calculate an estimated monthly amount based on normal earnings.

Step 4: Complete the Declaration Section

Read the declaration statement carefully before signing. By signing, the applicant confirms that the information given is true.

The applicant should not sign the form if the income amount or personal details are incorrect.

Step 5: Bring the Form to an Authorised Officer

After completing the applicant section, bring the form to an authorised person for verification.

The verifier will usually check the information and complete the verification section.

Step 6: Make Sure the Official Stamp is Included

Before submitting the form, check that the verification section includes the verifier’s signature, name, position, date, and official stamp.

A form without proper verification may be rejected.

Common Mistakes People Make

Applicants should avoid these common mistakes when preparing Borang Pengesahan Pendapatan.

Leaving the Income Section Empty

The main purpose of the form is to declare income. If the income section is left blank, the receiving institution may not be able to process the application.

Using the Wrong or Unofficial Template

Some applications require a specific template from the agency or institution. Using the wrong format may cause delays or rejection.

Signing the Verification Section Yourself

The applicant cannot verify their own form. The verification section must be completed by an authorised person.

Giving Inaccurate Income Information

Income should be declared honestly. Understating or overstating income may create problems during verification.

Forgetting the Official Stamp

A signature alone may not be enough. Many applications require an official stamp together with the verifier’s signature.

Not Checking the Form Before Submission

Small mistakes such as missing IC number, incomplete address, or unsigned declaration can delay the application.

Legal Risks of False Information

Applicants must provide truthful income information when completing Borang Pengesahan Pendapatan.

Giving false income information can lead to legal consequences. If a person is found to have given or verified false information, action may be taken under Seksyen 471 Kanun Keseksaan, with punishment under Seksyen 465 Kanun Keseksaan.

The penalty may include:

Fine
Prison sentence
Both fine and imprisonment

Always avoid guessing carelessly, hiding income, or declaring an amount that is not reasonable.

The form should always be treated as an official document, not a casual statement.

Sample Borang Pengesahan Pendapatan Format

A simple Borang Pengesahan Pendapatan format may include the following structure:

SURAT AKUAN PENGESAHAN PENDAPATAN

Name: [Full Name]
IC Number: [IC Number]
Address: [Full Address]
Occupation: [Type of Work / Business]
Monthly Income: RM [Amount]

Declaration:
I declare that the income information provided above is true and accurate. I understand that I am responsible for any action that may arise if false information is given.

Applicant Signature: ___________________
Date: ___________________

Verification Section:
Verifier Name: ___________________
Position: ___________________
Signature and Official Stamp: ___________________
Date: ___________________

This is only a simple structure. Applicants should still use the template required by the agency, school, institution, or programme they are applying for.

Download Template Section

Applicants should use the official template required by the relevant organisation. Different agencies may have different versions of Borang Pengesahan Pendapatan depending on the application purpose.

1. PTPTN Income Verification Template

2. KPM Income Verification Template

3. JKM Income or Employment Verification Template

Why This Matters for Employers and HR

Although Borang Pengesahan Pendapatan is often used by individuals without payslips, employers and HR teams may still encounter this document in the workplace.

Employees may request income-related support documents when applying for:

School aid
Government subsidies
Housing applications
Education financing
Financial assistance programmes

In some cases, HR may need to issue supporting employment letters or confirm employment details for staff.

For employees with fixed salaries, payslips may be enough. But for contract workers, part-time workers, commission-based workers, or workers with irregular income arrangements, HR may need to guide them on what supporting documents can be provided.

Employers should make sure any letter or income confirmation issued by the company is accurate and consistent with payroll records.

Practical Tips

Here are some practical tips before submitting Borang Pengesahan Pendapatan.

Use the Latest Template

Always use the template requested by the agency or institution. Do not assume all Borang Pengesahan Pendapatan formats are the same.

Prepare Supporting Documents Early

If available, prepare documents that can support the declared income, such as business records, payment records, utility bills, or other relevant documents requested by the agency.

Declare A Realistic Income Amount

For people with variable income, use a reasonable monthly estimate. The amount should reflect actual earning patterns as closely as possible.

Check the Authorised Verifier Requirement

Before getting the form verified, check who is accepted as a verifier for the specific application. Some institutions may have stricter requirements.

Make Sure the Stamp and Signature are Complete

Before submission, check that the verification section has the verifier’s signature, official stamp, position, and date.

Keep A Copy for Future Reference

Make a copy or take a clear photo of the completed form before submitting it. This can be useful for future applications or if the agency asks for clarification.

FAQs

What is Borang Pengesahan Pendapatan?

Borang Pengesahan Pendapatan is an official form used to declare monthly income when a person does not have a salary slip or formal income document.

Who needs this form?

This form is usually needed by self-employed individuals, freelancers, small traders, parents or guardians without fixed income, gig workers, and individuals who do not have payslips.

Who can verify the form?

The form can be verified by authorised persons such as Pegawai Kerajaan Gred 41 ke atas, Pesuruhjaya Sumpah, Ketua Kampung, ADUN, Ahli Parlimen, Guru Besar, Pengetua, ASP police officer and above, lawyer, Penghulu, Ketua Kaum, or Tuai Rumah.

Can I fill the form myself?

Yes, applicants can fill in their own personal, work, and income details. However, they cannot verify the form themselves. The verification section must be completed by an authorised person.

Is the form valid without an official stamp?

Usually, no. The form must include proper verification, including the authorised person’s signature and official stamp, to be accepted for official applications.

What happens if false information is given?

False income information may lead to legal action. A person who gives or verifies false information may face penalties such as a fine, imprisonment, or both.

Can I use my own template?

It is better to use the template provided by the agency, school, institution, or programme you are applying to. Some organisations may reject unofficial or incorrect formats.

Is Borang Pengesahan Pendapatan only for government applications?

No. It is commonly used for government aid and education-related applications, but it may also be accepted for other official purposes if the receiving party agrees and the form is properly verified.

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