AFFIDAVIT
I,_____________________________S/o____________________aged_____
years, occu: Student, R/o_____________________________________________
do hereby solemnly affirm and state on oath as under:-
1. I have appeared S.S.C.Public Examinations held in the month of
_________20___with Registration No.______________ through_______________
________________________School at _______________________________.
2. I submit that my parents are illiterates. That at the time of my admission in
the School, my father has got mentioned my date of birth/name as ____________
instead of________________. I submit that the mis-recording of my date of
birth/name is caused due to over-sight, hence the same deserves to be corrected.
If my date of birth is not corrected in the Secondary School Certificate I will be put
to irreparable loss, which cannot be compensated in terms of money.
3. Hence, this sworn affidavit with a request to kindly correct my date of
birth/name as ___________________ by deleting the _________________ in the
Secondary School Certificate.
The above said facts are true and correct to the best of my knowledge and
belief.
DEPONENT
VERIFICATION:- Solemnly affirmed and signed before me by the deponent
admitting the contents of this affidavit on at
NOTARY