I, _____ Daughter of _____ Resident of _____ do hereby solemnly affirm and declare as under: –
1- That I am still unmarried till date.
2- That my date of birth is _____
3- That I am not related _____ Son of _____ Resident of _____, within the degree of prohibited relations.
4- I am aware that if any statement in this declaration is false and if in making such statement, I, either know of believe it to be false or do not believe it to be true. I am liable to imprisonment and also to fine.
Verified that the contents of my above affidavit are true and correct to best of my knowledge and belief and nothing has been concealed therein.
Verified at _____