AFFIDAVIT

I, DHANALAKSHMI K.R. aged about 27 years residing at C/o Shylaja, No.45, 24 th

Cross, 6th Block, Jayanagar, Bangalore-560 082 do hereby solemnly affirm on oath and
state as follows:

I hereby declare that I am residing at the above mentioned address.

I hereby declare that I was born on 03/03/1984

I hereby declare that I affixed my photo and signature to this affidavit for photo
Identification proof. and signature proof.

I hereby declare I swear and submit the above contents before the concerned
.authority for the purpose of address proof.. date of birth proof , photo ID proof, and
signature proof.

This affidavit is required for the purpose of address proof, date of birth proof
photo ID proof and signature proof purpose only

I further declare that the information furnished in my affidavit is true to the best of my
knowledge and belief.

DEPONENT
SWORN TO BEFORE ME.
PLACE: BANGALORE
DATED: 19/03/2011