Affidavit for Obtaining Birth Certificate


I _________ son/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 deponent was born in _________ Hospital, _________ on _________ and the birth event of the deponent was recorded in the said Hospital on the same vide Serial No. _________.

3. That the name of the mother of may above said son/daughter is_________.

4. 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.



Verified that the contents of my above affidavit are true to best of my knowledge and belief and nothing has been concealed therein.

Verified at _________ on _________


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