chc-~'4 fcl<Ulc>l'4 ~/KENDRIYA VIDYALAYA SANGATHAN

(Min. of Education, Govt. of India)

18 -fR=~ ITT/ 18-Institutional Area
~~ ~ ~ a:rJcJ1" /Shaheed Jeet Singh Marg
~ ~- 110016 /NEW DELHI - 110016
Tel: 26858566-260,294,
www.kvsangathan.nic.in

'Col. 110331-19/fctfctctr/2022/~.fct~. ,~~ !

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1a.06.2022
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The Deputy Commissioner
Kendriya Vidyalaya Sangathan
All Regional Offices.

Sub: - Single Girl Child Affidavit reg.

In continuation to this office letter no. F. No. 110239 / 1 9/ 20 19 / KV S

Budget)/ 1217 dated-22.08.2019, it is to inform that KVS has decided to accept
the Affidavit/Certificate duly signed by First Class Judicial Magistrate /SDM/
Executive Magistrate (but not below the rank of Tahasildar) for admission and
fee exemptions as well.

It is .therefore, requested to disseminate this information to all the

Kendriya Vidyalayas under your region for information and necessary action.

(B.K.Behera) l'b)0,-6
Deputy Commissioner (Acad) Z-o 2-2-
Encl: As Above
 .. ~-

~ fclt11c1ll ~ /Kendriya Vidyalaya Sangathan

18, ~ ITT/ 18, Institutional Area
~n?R ~ ~ <Trf / Shaheed Jeet Singh Marg

.-,.,..-, .:,,.,··,,'.." ... ,·,·,:'·'.',,:'. ~ ~-16/ New Delhi - 16

,\,..~"!It 1/r~r~~ t-f~:;:i,t
Phone No. 011-26523070

F.No. 110239/19/2019/KVS(Budget))\')..,)''.j- Date:~t.OB.2019

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-~-------------~ -
 AFFIDAVIT (FOR SINGLE GIRL CHILD)

I. father of (Single Girl Child) ---------------- &

mother of (Single Girl Child)

residing at _

do solemnly declare that we have no other child except. _

(name of Single Girl Child).

1. That I am citizen of India.

2. That is my real daughter,

3. That her date of birth is _

4. That I have a Single daughter and no other child in my family.

5. That my above mentioned daughter has no brother or sister.

6. That I will inform that school authority in case another son or daughter is born in
my family.

7. If any information or documents are found incorrect on verification, the

admission of my ward may be treated as cancelled .. r. wH!_ not susta~11 c111ydaim ..... -
against the decision of Principal, Kendriya Vidyalaya
-
... ~ ... '" ............ """·

DEPONENT
 Single Girl Child
Rs. 100/- Stamp paper Affidavit

I. aged years, Indian Inhabitant occupation

............................ a resident of is mother/father
of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date of Birth Submitting my
undertaking to the Head of the Institution in Class I vide KVS Admission Guidelines
20 .

1) I hereby declare that Miss is the only girl

child in my family (with no male/female sibling). I understand that it shall be my
sole responsibility to inform you about any change in the status of a single girl
child in the family immediately, if and when it occurs.

2) I am also aware that in case it is detected at any time that the affidavit sworn by
me is false, appropriate action will be taken by the school authorities and KVS
against me.

Signature of father

Signature of mother

Residential address with Contact number:

Solemnly affirmed at .
This day of 20 .

BEFORE ME

Explained and Identified by me,

Advocate