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Form-2A

This document is an affidavit for obtaining a duplicate original degree certificate, detailing the loss of the original certificate during travel. The affiant has reported the loss to the police and received confirmation that the tracing efforts were unsuccessful. The affiant declares the information provided is true and is requesting a duplicate certificate from the relevant authorities.

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38 views

Form-2A

This document is an affidavit for obtaining a duplicate original degree certificate, detailing the loss of the original certificate during travel. The affiant has reported the loss to the police and received confirmation that the tracing efforts were unsuccessful. The affiant declares the information provided is true and is requesting a duplicate certificate from the relevant authorities.

Uploaded by

rajavikram.whd48
Copyright
© © All Rights Reserved
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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FORM – 2A

AFFIDAVIT
(For Duplicate Original Degree Certificate)
(Printed on Rs.20/- Notary bond paper)
I,______________________________S/o/D/o _____________________________ aged_____ years
( Student’s Name) (Father’s Name)
Resident of ____________________________________________________________ ___________
(Residential Address)
____________________________________________________________________ do hereby solemnly
affirm and status follows:
I have passed _________________ Degree from_______________________________________________
(College Name)
_______________________in the year of ___________with Hall Ticket No.________________________

That after noticing the certificate was lost in the travelling, I lodged a complaint on

______________________ in the _________________________________________________________


(Date ) (Name of Police Station)
Police Station, for to trace out the certificate.

That the Police authorities of ____________________________________________ issued a certificate on


( Name of Police Station )
___________________ stating that the certificate tracing is in vain.
( Date)
I am unable to trace the said certificate and it is lost beyond recovery, in case it is traced out in future, I
shall submit to the JNTUH authorities for its cancellation.

I am in need of a duplicate degree certificate for which purpose I am hereby making this declaration as
required by the concerned authorities.

The facts stated above are true and correct to the best of my knowledge and belief.

DEPONENT
Solemnly affirm and signed before me.

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