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