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AFFIDAVIT

I, MR. PRASHANT GANGADHAR NIRBHAVNE, aged 36,

Adult Indian Inhabitant, resident at Chawal No. 55, Room No. 509, Ramabai

Ambedkar Nagar, Ghatkopar, Mumbai – 400075. do hereby solemnly affirm

and declare as under :-


..2..

1. That the deponent is the resident of the above said address.

2. That the date of birth of the deponent is 12/07/1982 .

3. That the date of birth of the deponent is wrongly mentioned in the

School Living record as 12/07/1983.

4. That the deponent wants to get corrected his date of birth in the

School Leaving Certificate as 12/07/1982 instead of 12/07/1983.

I am executing this Affidavit to be produced before the concerned

authorities showing the above fact of my past and present Birth Date and this

Affidavit is made as per their requirements.

I say that whatever stated above is true and correct to the best of my

knowledge.

Solemnly Affirmed at Mumbai on )

this 19th day of December, 2017 )

(DEPONENT)
Before me

Identified by Me

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