AFFIDAVIT ANNEXURE ‘A’ eee .. Slo, DISyWio .ShsHans Raj Rio H.NO, 57), Begampura ,Rasila Nagar, Basti Danishmendan.Jalanch ar do hereby solemnly affirm and state as follows: 4. That | was born on ..09/08/4973..at Jalandnar., in the state of 2. | have no documentary proof in support of my date of birth and place of birth 3. It is absolutely correct that | am an illiterate person/lady and do not possess any education qualification certificate or Birth Certificate. That | can sign in Hind/Punjab/English learnt from home practice. 5. That in future, | will not claim for change in date of birth and place of birth once the passport is issued to me with the date and place of birth as mentioned in this affidavit. 6. That since | am illiterate, | will not claim for change in emigration status from ECRIECNR, 7. That | undertake that | will never file court case against the Passport Office or its higher authorities for change in date of DitaTaglgce of birth on the basis of birth certificate or educational Cae i Uo & 8 That in the event of court case by me, | will be {idble for punishmént as per law for concealing and misrepresenting the facts in the, fidayit. 2 +7 8. | take oath and solemnly declared/affirm that the, ica {umnished by § me above are absolutely correct and | have® misrepresented any fact. 10. That the’ contents of this affidavit have been read out to me in my own language ie. ..RUAJapi/Enghish. 11. That | have put up my signature/thumb impression on this affidavit after Be ercwaled or listening to the contents and satisfying myself and the same has been attested in my presence. SalD We Kur cee Deponent Verified on this ......1$ .. day of ... MaY.z...... of the year ae That the contents of my above affidavit are true and correct to the best of myEB. Dogg + day of ... May» - SabTWV Key Ieee Deponent