I, ________________________ S/o ___________________ residing at __________________________ _________________________________________________, do hereby solemnly affirm and state on oath as under:
i) That my Date of Birth is ____________________________.
ii) That my Place of Birth is ____________________________.
iii) That name of my Father is ____________________________________.
iv) That name of my Mother is ____________________________________.
v) That address of my parents at the time of my birth was_______________________ ________________________________________________________________________.
vi) That permanent address of my parents is_______________________________________________________________________________________________________________________.
I, ___________________ do hereby solemnly affirm that the contents of this affidavit from Paragraphs 1(i) to 1 (vi) are true and correct to the best of my personal knowledge and belief. I do understand that if the above affirmation is proved to be false, I will be solely responsible for any situation arising thereafter.
Deponent Sworn Before Me
(Your Name) [Notary’s Seal/Sign]