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PROFORMA OF AFFIDAVIT FOR OBTAINING BIRTH CERTIFICATE

I ________________________ S/o , D/o, W/o ______________________


R/o _____________________________ do hereby solemnly affirm and
declare as under:

1. That the exact and correct date of Birth of my son/daughter


__________________ is ____________________________ who born
at ___________________.

2. That the name of the mother of may above said son/daughter is


Smt._______________________.

3. That due to inadvertence, I did not register the date of birth of my


above said daughter/son _________________ with the concerned
department at the time of birth.

Deponent

Verification: Verified at Delhi, this _____________ day ___________ that


the contents of the affidavit are true & correct to the best of my knowledge
and belief and nothing has been concealed therein.

Deponent

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