AFFIDAVIT CUM DECLARATION

I, Mrs. Saroj Devendra Sawant, aged 39 years, Indian Inhabitant, Hindu, residing at 84/5 Bawkar Niwas, S. M. Road, Tadwadi, Chunabhatti, Sion, Mumbai - 400 022, do hereby state on solemn affirmation as under:

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1.

I say that, I am legally married Wife of Mr.

Devendra D. Sawant and presently I am living with him as above said address.
2.

I say that, I have made the application to include

my Name in my Husband Ration Card SB No. 0888 397.

3.

I further say that, do to Non-available of Concern

Officer my Application is still lying in the concern office, to place my name in Ration Card SB No. 0888 397.
4.

I say that, I am making this affidavit cum

declaration, so that my name is taken on Ration Card No. SB No. 0888 397 records pertaining to aforesaid room as owner thereof.
5.

I say that, kindly please give me New Application

form to include my name in above said Ration Card. That, whatever stated hereinabove is true and correct and I affirm the same to be true. Solemnly affirmed at Mumbai This 25th day of July, 2011 ) ) DEPONENT Identified by me

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