AFFIDAVIT

I, NAYAB AHMED SON OF SHRI MOHAMMAD IDRIS RESIDENT OF B-5, WELCOOME

COLONY, NEAR COL MASJID, DELHI-110053, do hereby solemnly affirm and declare as under:-
1. That I have a claim/advance receipt Vide No. PGDI210921 of Max Healthcare, at
Indraprastha Extension, Patparganj, New Delhi-110092.
2. That I have lost or misplaced the claim/advance receipt anywhere and which is not
traceable with my best efforts.
3. That I will not misuse the same in any manner. And in case of found I will return
the same to the Max Healthcare Authority.
4. That it is my true and correct statement.
DEPONENT
VERIFICATION:-
Verified at Delhi, that the contents of this affidavit are true and correct to the best of
my knowledge and belief.
DEPONENT.