PROFORMA OF AFFIDAVIT FOR
OBTAINING DEATH CERTIFICATE
(Affidavit to be submitted
alongwith the application of Rs.2/- Non judicial stamp paper duly attested by
Oath Commissioner/Notary Public.)
AFFIDAVIT
I
________________________ S/o , D/o, W/o ______________________ R/o
_____________________________ do hereby solemnly affirm and declare as under:
1. That Sh./Smt./Ku.
_____________________ expired on ___________ ___________________________________.
2. That the deceased
is my ____________________________.
3. That due to
inadvertance, I did not register the date of death of ___________________ with
the concerned department.
4. That it is my true
statement.
Deponent
Verification
Verified
on _________________ at Delhi that the contents of the affidavit are true &
correct to the best of my knowledge and belief and nothing has been concealed
therein.
Deponent