AFFIDAVIT FOR DUPLICATE LEAVING CERTIFICATE

I Vandana Dnyaneshwar Navale, alias Vandana Pradip Thorat an adult Indian

Inhabitant, residing at Ghatkopar Mumbai do hereby solemnly affirm as under:

1) That I have passed "Maharashtra State Board of Secondary school

examination through Saraswati Vidya Mandir,Jagruti Nagar,
Bhatwadi,Ghatkopar West, Mumbai,Maharashtra 400084 in the year 1998-
99,my date of birth is 6th April 1984 and I was born at Mumbai
2) I say that I was issued the Original School Leaving Certificate by the school
authorities, but the same is either lost or misplaced and the same not
traceable in spite of my all efforts.
3) I say that I require the duplicate school leaving certificate from the school
authorities for my personal purpose.
4) I request the school authorities to issue me a duplicate leaving certificate in
lieu of my Original lost certificate.

I further wish to state that whatever is stated herein above is true correct to the
best of my knowledge and belief.

Solemnly Affirmed at Mumbai,

On this 16th September 2021 Signature of the applicant

Before me Signature of the Advocate