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⎆ पासपोर्ट जन्म स्थळाबाबत परिशिष्ट अ | Passport Place of Birth Appendix A

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महाराष्ट्र मधील सर्व सेतू / आपले सरकार सेवा केंद्र / महा ऑनलाईन केंद्र / डिजिटल सेवा केंद्र चालकांसाठी व झेरॉक्स दुकानदार आणि इतर केंद्र चालकांसाठी महत्वाचे असलेले सर्व अर्ज आम्ही PDF व WORD स्वरुपात तुमच्यासाठी अगदी मोफत उपलब्ध करून दिली आहेत.

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पासपोर्ट जन्म स्थळ बाबत परिशिष्ट 'अ'


 

ANNEXURE ‘A’

 

 SPECIMEN AFFIDAVIT TO BE SUBMITTED BY APPLICANTS AS PROOF OF DATE OF BIRTH AND PLACE OF BIRTH IN CASE NO OTHER DOCUMENT MENTIONED IN DOCUMENT NUMBER 2 OF TABLE 3 IN SECTION D IS AVAILABLE 

(To be executed on non-judicial stamp paper of minimum value)

 

I ---------------------------------------- S/o W/o D/o ------------------------------- presently residing at   “-------------------------------------------------------------------------------------------- hereby state the following:

I was born on --------------------------- at Home situated in the district ------------------------------------------ in the State of Maharashtra. I have no documentary proof in support of my place of birth.

 

I take oath and solemnly declare/affirm that the particulars furnished by me above are correct and that I have not concealed or misrepresented any facts.

 

Verified on this ------ day of ---------of the year -------- that the contents of my above affidavit are true and correct to the best of my knowledge and belief, and nothing in material has been concealed there from.

The contents of the affidavit have been read out to me.

 

 

 

Place:                                                      _____________________ 

Dated: - -----/-------/-------------                                                                             Deponent 

 

 

 

 

VERIFICATION

I, the above named deponent do hereby state and verify that the contents of this affidavit are true and correct to the best of my knowledge and belief. If it proved false I Shall be punishable u/s 193,199, 200, I.P.C 

Hence I Verified and signed this on --------/---------/--------- At Pachora

 

 

Place:                                                      _____________________ 

Dated: -      /      /                                                                            Deponent 

 

                                                     

 

 

 

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