Before the Notary Public at Kolkata

AFFIDAVIT

I CHUMKI MONDAL, wife of Shri. Biren Mondal, by faith Hindu

by occupation Housewife, aged about 24 years, by birth residing
at MAJHERPARA, KRISHNAPUR, KOLKATA – 700102 do
hereby solemnly affirm and state as follows :-

Contd……..2
 (2)

1. THAT I was born on…………….. at KRISNAPUR

MAJHERPARA, KOLKATA – 700102, WEST BENGAL

2. THAT I got married with Shri. Biren Mondal, residing at P.O. &
VILL. - CHAK PANCHURIA, P.S. BHANGAR, DIST, - 24
PARGANAS (SOUTH) and presently residing at my Husband’s
house as mentioned above.

3. THAT I have no documentary proof in support of my place and

date of birth.

4. THAT I do not possess any educational qualification and I am an

illiterate person.

5. THAT I am making this affidavit for opening a Savings Bank

Account.

6. THAT I take oath and solemnly declare/affirm that the particulars

furnished by me above are correct and that I have not
concealed or misrepresented any facts.

Deponent

Place …………
Date …………..
Verified on this …………………… day of …………….. of the year
…………….. that the contents of my above affidavit are true and
correct to the best of my knowledge and belief, and nothing in material
has been concealed there from.
The contents of the affidavit have been read out to me.

Deponent

Identified by me

Advocate