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FI? WEST BENGAL 73AB 671865 AFFIDAVIT |, Sayan Banik, S/o Bidyut Banik(Father) and Mousumi Banik(Mother), Residing at 32, New Parnasree Pally, PO&PS: Parnasree, Kolkata-700060, West Bengal, india (Permanent address), hereby states on.oath as under :- 1. That my father's name is BIDYUT BANIK and my mother’s name is MOUSUMI BANIK as mentioned in my Birth certificate. 28 That my mother's name has been wrongly recorded as MIUSUMI BANIK in my Passport No. F8180216. The said name has also been rectified as MOUSUMI BANIK by Passport + office in page no.5 of the said passport copy. 38 That both MIUSUMI BANIK and MOUSUMI BANIK are name of one and the same person i.e. my mother. 5 4. That the correct acceptable name of my mother is MOUSUMI BANIK. (DEPONENT) 4 (SAYAN BANIK) Verification 5 |, above named deponent do hereby verify that the contents in para 1 to 4 above are true and correct to the best of my knowledge. (DEPONENT)

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