I , ............................. S/O / D/O..............................

, do hereby solemnly afrm and state on oath as under :

i) That I have passed 12th lass !rom """""""""""""#$our State %&am 'oard, $our State)'oard in the year
((((((#$our )assin* $ear).


ii) That a!ter passin* the a!oresaid e&amination in that year I did not +oin any Shool / ,olle*e / Institution
!rom #-onth 2..// )#the date o! passin* above e&amination) till ((((#-onth,$ear.)

iii) That the Session 2../ to 2../ #0ap period) is the *ap year.
iv) That durin* this *ap period I 1as doin* sel! preparation !or ompetitive e&aminations.
v) That durin* this *ap period, I 1as neither studyin* any1here nor passed


I, .......................do hereby solemnly afrm that the ontents o! this afdavit !rom )aras 1#i) to 1 #v) are true
and orret to the best o! my personal 2no1led*e and belie!. I do understand that i! the above afrmation is
proved to be !alse, my admission in this ompany 1ould be anelled !or 1hih I solely 1ill be responsible.


Identi3ed by,
4advoate5s si*nature6 4$our Si*nature6
7oation ,State Dependent

S1orn 'e!ore -e

4$our Si*nature6 48otary5s Seal/Si*n6
Dependent 7oation, State