AFFIDAVIT FOR DATE OF BIRTH

I, .. son/daughter of
Shri.., resident
of

.(complete address)
affirm on oath and declare as under :-
1. That I / my son / daughter as !orn on .. and hence, my date of !irth is
. / date of my minor son/ daughter "r./"iss..
. is
..
#. That I ha$e no other proof of my !irth date / !irth date of my son/daughter "r./"iss
. %nd hence, I am
declaring date of !irth !y this affida$it.
&lace :
'ate : .
'eponent
Verification
I, .. son of Shri.,
here!y $erify that as per my !est (noledge a!o$e mentioned contents of this affida$it are true
and correct and nothing as hidden there from.
.
'eponent