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NOTARIAL
ANON JUDICIAL8
GN 180077
3r TUTTAR PRADESH
AFFIDAVII
aged about 41 years,
I, Prabhat Kumar Singh, S/o Dr. Awadhesh Singh, Lallapura Khurd
rèsiding at_C 19/102 Mahatma Gandhi Kashi Vidyapith,
Varanasi ,do hereby solemnly affirm and state as under: Institute ASHA
1. That I am Chairperson Prabhat Kumar Singh Applicant
PHARMACY COLLEGE, Kusmura, Baragaon, Varanasi. Hence, Iam competent
to swear the instant affidavit.
session 2023-2024
2. That the application for grant of affiliation for
has been filled under my careful supervision.
documents
3. That all the information provided in the Application and the
attached therein are valid, legible and true to best of my knowledge and
belief.
behalf of
4. That in case, any information filled in the aforementioned form on
my Institute is found to be incorrect, affiliation granted to my institute may
be cancelled at any point of time.
5. That in case, if affiliation granted to my institute is cancelled for reason given
in clause 4, I shall not enter into any litigation for the same, in any court of
law in India. That the annexures are true/true translated copies of their
respective originals.
6. That the facts stated in the above affidavit are true to my knowledge and
belief. No part of the same is false and nothing material has been conc aled
there from.

DEPONENT
NO ERIFICATION:
Lthe above named deponeot, de.hereby verify that the facts stated in the
abaaaffidavit are true to tyyle RseNo part of the same is false
KAMiLESH SNcahd n thing material has beerone& thereito

RDegisdV.NAoR.-2A9i1v3nsi Verified at Varanasi on Mis to iyiotgihe, 2023

NOTARY GOVT. OF INDIA
Regd. No.-2913, Varanasi DEPONENT