Affidavits most commonly used:

1. Affidavit to be Submitted with the Application for Change of

Name in The Certificate Due to Marriage

The Registrar,
______________ University
Affidavit of Miss.___________ D/o, of Mr. _______ now Mrs. ___________, wife of
Mr_______________, aged _____ years, resident of _______________.
I, the above named deponent, solemnly affirm and state as under:
1. That I am the applicant in the application being submitted for the change in name and as
such I am fully conversant with the facts deposed to below.
2. That I pursued and passed three years Bachelors Degree in Commerce (Hons.), Course
from ________________College, affiliated to your University under name
Miss.___________from the year ____ to ______under roll No.____________.
3. That my marriage was solemnized with Mr.__________, on ____________, That
due to different surname of my husband, my name has changed from Miss.
________________ to Mrs. __________________ .
4. That I have been selected and appointed on probation as Section Officer in
________________ and the appointing authority has advised me to submit the
Certificate confirming change of my name.
5. That I, now addressed under my changed name as Mrs. _______________ is one and
the same person as Miss_________ before my marriage with Mr.
________________ was solemnized.
6. That it is necessary to issue the Certificate in the changed name.

DEPONENT
Signed at _____________ this ___ day of ____,

VERIFICATION

I, ________ the above named deponent do hereby verify on oath that the contents of the
affidavit above are true to my personal knowledge and nothing material has been concealed or
falsely stated.

DEPONENT

2. Regional Transport Authority for Issuance of Duplicate

Driving Licence
 Before the Regional Transport Officer, ___________________, New Delhi.
Affidavit of Mr./Ms._______,S/o./D/o., Sh.____________ aged_____ years,Resident of
_________________ .
I, the above named deponent, solemnly affirm and state as under:
1. That I am the applicant in the application for the issue of duplicate driving licence and as
such fully conversant with the facts deposed to below.
2. That I was issued driving licence no.________ on _________ by your office to drive
Scooter and Jeep with gears.
3. That my driving licence no. ____________ has been lost on or about __________,
for which I have lodged FIR with Police Station, __________vide FIR No.
_________ dated _____________.
4. That I have not deposited the said driving license with any Court or any other public
authority.
5. That my licence has not been cancelled and no charge sheet has been filed against me for
any offence under the Motor Vehicles Act or Rules made thereunder or any other law for
the time being in force.
6. That I am otherwise qualified to hold the driving licence.
7. That if the original licence will be found, I undertake to deposit the same with your
office.
8. That in view of the above, it is necessary that duplicate driving licence be issued to me.

DEPONENT
Signed at _____________ this ___day of ____,

VERIFICATION

I, ________the above named deponent do hereby verify on oath that the contents of the
affidavit above are true to my personal knowledge and nothing material has been concealed or
falsely stated.
DEPONENT

3. Affidavit to be Furnished by The Shareholder to the Company

For Issuance of Duplicate Share Certificate (S)

The Board of Directors,

_________________ Limited/ Private Limited,
Regd. Office:_________________
Affidavit of Mr./Ms.________________, S/o/D/o, of Mr. _______ aged about _________
years, resident of _______________.
I, the above named deponent, solemnly affirm and state as under:
1. That I am the applicant in the application being submitted for issuance of duplicate
Equity share certificate(s) and as such I am fully conversant with the facts deposed to
below.
1. That ____ Equity shares of the face value of Rs. 10/- each fully paid-up as per details
given hereunder stand registered in my name in the books of _____________Limited/
Private Limited (hereinafter referred to as "the Company").
Certificate No. No. of Shares Distinctive No(s).

------ ---- -------

1. That the certificate (s) in respect of the aforesaid Equity shares has been lost from my
custody and is not forthcoming.
2. That the certificate(s) in respect of the aforesaid Equity shares were not accompanied by
any blank transfer deed(s) signed by me and that I have not, nor has any person by my
order or on my behalf or in any other manner disposed off, parted with the said Equity
share certificate(s)or assigned our interests therein or part thereof to any person.
3. That notwithstanding our diligent efforts, we have not been able to trace/locate the said
share certificate(s).
4. That we have requested the Company to issue in our names, duplicate share certificate(s)
in lieu of the aforesaid share certificate.
5. We solemnly verify that the facts stated above are true and nothing material has been
concealed.

DEPONENT
Signed at _____________ this ___day of ____,

VERIFICATION

I, ________the above named deponent, do hereby verify on oath that the contents of the
affidavit above are true to my personal knowledge and nothing material has been concealed or
falsely stated.

DEPONENT

4. Affidavit for Condonation of Delay in Filing Appeal Before

The Income Tax Appellate Tribunal

Before the Income Tax Appellate Tribunal at _______________

In the matter of _____________Limited/Private Limited,
Assessment Year ___________
Affidavit of Mr./Ms. _____________aged____ years, Director of_________
Limited/Private Limited.
That I the above named deponent, am well conversant with the facts deposed to below.
1. That the appeal filed by the Assessee Company before the Dy. Commissioner (Appeals)
was disposed of by order dated___________ passed by Dy. Commissioner (Appeals)
_______________________.
2. That the time for filing of the appeal before the Tribunal was to expire on _______.
3. That the Attorney/Advocate of the Assessee company Mr.__________ was coming to
the office of the Tribunal to file Memorandum of appeal duly signed by the Managing
Director of the Company on_______________ by taxi bearing no. _____ and that
due to big procession on the occasion of __________________________ and
consequent traffic blockage on the way, he could not reach the Tribunal Office in time
and therefore appeal could not be filed.
4. That the memo of Appeal has been filed on ________ in the Office of the Tribunal.

DEPONENT
Signed at _____________ this ___day of ____,

VERIFICATION

I, ________the above named deponent do hereby verify on oath that the contents of the
affidavit above are true to my personal knowledge and nothing material has been concealed or
falsely stated.
DEPONENT

5. Affidavit to be Furnished to The Income Tax Authorities for

obtaining Income Tax Clearance Certificate

Affidavit of Mr/Ms._______ S/o,/D/o Mr._____ aged___ years, resident of

_____________.
I, the above named deponent, solemnly affirm and declare as under:
1. That I am fully conversant with the facts deposed to below.
2. That I am holder of Indian Passport bearing No. _________dated _______.
3. That I am permanent resident of _____________.
4. That my sources of income are Income from Salary, Income from business and Income
from House Property.
5. That I am duly filing my income tax returns and have paid all my tax liabilities on my
total income till the Assessment Year _________
6. That I have no other source of income.

DEPONENT

Signed at _____________ this ___day of ____,

 VERIFICATION

I, ________the above named deponent do hereby verify on oath that the contents of the
affidavit above are true to my personal knowledge and nothing material has been concealed or
falsely stated.
DEPONENT

6. Affidavit to be Furnished to The Registrar of Marriages

Under Hindu Marriage Act, 1955

Affidavit of Mr ________ S/o, Mr._______ aged___ years, resident of ____________.

I, the above named deponent, solemnly affirm and state as under:
1. That I am fully conversant with the facts deposed to below.
2. That my marriage with Mrs.__________(Bride) was solemnized on _________ at
New Delhi.
3. That my date of birth is ____________.
4. That prior to this marriage I was unmarried/legal divorcee.
5. That I_____________ (Bridegroom) and Mrs. _____________ (Bride) are not
related to each other within the prohibited degree of relationship as per Hindu Marriage
Act, 1955.
6. That I am a Citizen of the Republic of India.

DEPONENT
Signed at _____________ this ___day of ____,

VERIFICATION

I, ________the above named deponent do hereby verify on oath that the contents of the
affidavit above are true to my personal knowledge and nothing material has been concealed or
falsely stated.
DEPONENT

7. Affidavit to be Submitted with a Writ Petition

Before the Hon'ble High Court of Juridicture at _______________

Writ Petition No.____________ of __________
Mr________ aged ____years, S/o Mr. _________ resident of _______________
…..……….……….Petitioner
 1. Union of India through its Secretary, Ministry of Home Affairs, Government of India,
New Delhi.
2. District Magistrate, __________________
….…………. Opposite Parties
Affidavit of Mr/Ms.________ S/o/D/o, Mr._______ aged___ years, resident of
_____________
I, the above named deponent, solemnly affirm and state on oath as under:
5. That I am the Petitioner in the above mentioned writ petition and am fully conversant
with the facts deposed to in the Writ Petition.
6. That the contents of paragraphs ______ to _______ of the accompanying writ petition
are true to my personal knowledge and the contents of paragraphs ____ to _____ are based on
legal advice, which I believe to be true. No material has been concealed and no part is false.
7. That the Annexure No(s). 1 to 10 to the accompanying writ petition are true copies of the
originals and I have compared the said Annexures with their respective originals and certify
them to be true copies thereof.
DEPONENT
Signed at _____________ this ___day of ____,

VERIFICATION

I, ________the above named deponent do hereby verify on oath that the contents of the
affidavit above are true to my personal knowledge and nothing material has been concealed or
falsely stated.
DEPONENT

8. Affidavit with the Application for Amending The Wealth Tax

Return Under Wealth Tax Act, 1957
Before the Wealth Tax Officer, ___________________
I, the above named deponent, solemnly affirm and state on oath as under:
Affidavit of Mr./Ms.___________ S/o/D/o, of ________ aged _______ resident of
____________________.
1. That I am well conversant with the facts deposed to below.
2. That I am the Assessee in the aforesaid case and as such fully conversant with the facts
deposed to below.
3. That I have filed the return of wealth tax for the assessment year _______ on
_____________.
4. That in the said return, the particulars of securities held by me have been wrongly given.
And the mistake is inadvertent.
5. That the particulars of securities held by me have been given in the list attached
herewith.
6. That the mistake came to notice when my Consultant saw the papers in connection with
the production of evidence before the Wealth Tax Officer, ________.
 7. That in view of the above, it is requested that the return of wealth tax may be amended
and particulars of securities held by me given in the said return may be substituted with
the list attached herewith.

DEPONENT
Signed at _____________ this ___ day of ____,

VERIFICATION

I, ________the above named deponent do hereby verify on oath that the contents of the
affidavit above are true to my personal knowledge and nothing material has been concealed or
falsely stated.
DEPONENT