AFFIDAVIT CUM DECLARATION

I, the undersigned MRS. WAGHMARE DIPALI

GANESH, aged about 27 years, Occupation : Housewife,
Residing at Survey No. 174, Ravi Kamal Datta Smruti,
Bhekarainagar, Phursungi, Pune 412308.

DO HEREBY SOLEMNLY AFFIRM ON OATH AND

JOINTLY DECLARE AS FOLLOWS :-
 My true and correct name is MRS. WAGHMARE
DIPALI GANESH the same name in my Adhar Card No.
4964 5103 1270 and all documents.

But on record of my SSC Board Certificate No.

117196 my name was typed/mentioned THOMBARE
DIPALI RAGHUNATH also on my Diploma Certificate No.
P0155887 was typed/mentioned THOMBRE DIPALI
RAGHUNATH and on my Marriage Certificate my name
was typed/mentioned THOMBARE DEEPALI RAGHUNATH

And on record of my Pan Card No. ACKPW9031H my

name was typed/mentioned WAGHMARE DIPALI G.

I say that MRS WAGHMARE DIPALI GANESH AND

MRS WAGHMARE DIPALI G. AND MISS THOMBARE
DEEPALI RAGHUNATH AND MISS THOMBARE DIPALI
RAGHUNATH also MISS THOMBRE DIPALI RAGHUNATH
above all names belongs to me and same person is one
and same person i.e. my self only and none else.

That whatever stated above is true and correct to

the best of my knowledge, information and belief and
nothing material is concealed there from.

Made this Affidavit Cum Declaration at Pune, State

of Maharashtra, India on this 7 t h day of the month of
January 2019.

Pune
Date : 07/01/2019

Affiant.