AFFIDAVIT FOR OBTAINING BIRTH
CERTIFICATE
I _____Son of/daughter
of _____ resident of _____ 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 _____,
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