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(To be endorsed on Rs.

10/ Stamp Paper and


To Be Notarised By Notary Public)

AFFIDAVIT

I, ________________________________, s/o d/o w/o ________________________, aged about ______


years, r/o ________________________________________, New Delhi/Gurgaon do hereby solemnly
affirm and state as follows:

1 That I am the (father/mother/guardian) of the applicant ______________________________ (childs


name) who is applying for admission to The Shri Ram School, Gurgaon for Academic Session 2017 - 2018.

2 (In case of first born child) That __________________________ (childs name) is my first born/only
child and I have no other child/children. (If there is a younger sibling). My younger child studies in
_____________________________ playschool, New Delhi/Gurgaon and is ________years of age.

3 I have read and understood the contents of this Affidavit, which has been drafted by me / under my
instructions and I say that the contents thereof are true and correct to my knowledge.

Deponent Verification:

Verified at New Delhi/Gurgaon on this _____________, that the contents of the affidavit of a foregoing
are true and correct to my knowledge, that no part of it is false and nothing material has been concealed
therefrom.

Deponent

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