AFFIDAVIT FOR DATE OF BIRTH

I, ………………………………………………………………………………….. son/daughter of
Shri……………………………………………………………………………………….., resident
of
………………………………………………………………………………………………………
………………………………………………………………………………….(complete address)
affirm on oath and declare as under :-

1. That I / my son / daughter was born on ………………….. and hence, my date of birth is
………………. / date of my minor son/ daughter Mr./Miss………..
…………………………………………………………………………. is
…………………..

2. That I have no other proof of my birth date / birth date of my son/daughter Mr./Miss
………………………………………………………………………. And hence, I am
declaring date of birth by this affidavit.

Place :

Date : …………………………….
Deponent

Verification

I, …………………………………………………….. son of Shri……………………………….,

hereby verify that as per my best knowledge above mentioned contents of this affidavit are true
and correct and nothing was hidden there from.

…………………………….
Deponent