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Annexure A - Date of Birth

The document provides a template for an affidavit to be used by illiterate applicants to provide proof of their date of birth when no other valid documents are available. The affidavit requires the applicant to state their name, place and date of birth, and to affirm that the details provided are correct. It must then be verified and signed by the applicant before a magistrate or notary, and include an attestation and official seal.

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Naresh Pathak
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387 views1 page

Annexure A - Date of Birth

The document provides a template for an affidavit to be used by illiterate applicants to provide proof of their date of birth when no other valid documents are available. The affidavit requires the applicant to state their name, place and date of birth, and to affirm that the details provided are correct. It must then be verified and signed by the applicant before a magistrate or notary, and include an attestation and official seal.

Uploaded by

Naresh Pathak
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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27/2/2014

Annexure A- Date of Birth

GOV ERNMENT OF INDIA MINISTRY OF EX TERNA L A FFA IRS CPV DIV ISION, DELHI

ANNEXURE A
SPECIMEN A FFIDA VIT TO BE SUBMITTED BY ILLITERA TE A PPLICA NTS A S PROOF OF DA TE OF BIRTH IN CA SE NO OTHER DOCUMENT MENTIONED A T PA RA A (b) OF SECTION IV IS A VA ILA BLE (To be e x e cute d on non-judicial stam p pape r)

I S/o W/o D/o .. presently residing at hereby state as follows: I was born on . at situated in the District. .. in the State of .. I have no documentary proof in support of my place and date of birth. I do not possess any educational qualification and I am an illiterate person. I take oath and solemnly declare/affirm that the particulars furnished by me above are correct and that I have not concealed or misrepresented any facts. Place Date .. Verified on this day of .. of the year .. that the contents of my above affidavit are true and correct to the best of my knowledge and belief and nothing in material has been concealed there from. The contents of the affidavit has been read out to me Deponent Attested Signature and official seal of attesting authority Note: Affidavit to be attested by the Magistrate/Notary In case of notary, notarial stamp would be required

http://passport.gov.in/cpv/ANNEXUREA_dob.htm

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