Affidavit
I,
---------------- ( S/O, W/O, D/O)
--------------------------R/O------------------------ do hereby solemnly affirm
and declare as under:-
1.
1. That the exact spelling of the name of my
( father / mother / child ) is --------------------------------
2.
2. That at the time of Registration ( Birth
/ Death ) the ( name / date /sex ) was
entered as ----------------------------------
3.
3. That I hereby declare that the correct
name / father name / mother name/ deceased/ date / time/ sex) is --------------
4.
4. That I further declare that the place of
occurrence ( birth / death ) is as follows-----------------
That this is my
true statement
Deponent
Verification
Verified at Delhi
on this -----------day of-----------------month-------------------year that the
content of this affidavit are true to b best of my knowledge and nothing has
been concealed thereform.
Deponent
