I, _____ son of _____ resident of _____, do hereby affirm and declare as under:-
1- That on _____ I was _____ from _____ to _____ in _____ in the _____ and during traveling in the _____. During the journey my goods was stolen away in regard to the same the _____ recoded my statement
2- That in this regards a FIR NO. _____dated _____ under Section _____ IPC was registered in the _____ against _____. 3- That I am unable to recognize those persons who have _____ and I am also unable to identify my goods.
4- That now I do not want to take any action in the above mentioned FIR against any one and want to withdraw my statement given to the police at _____.
5- That this affidavit has been executed by me without any pressure or undue influence rather it is my sweet will and consent.
Verified that the contents of my above affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein.
Verified at _____ on _____