ANNEXURE "C"
I Shri/Smt. age Residence of ________________________________________ do hereby on the solemn Affirmation states and submit as under :-
1. I say that my name is recorded as _________________________________________ In my ___________________________ Certificate.
2. I say that my name is recorded as _________________________________________
In my _______________________________
3. I say that both names i.e.
(a) ________________________________________________
(b) ________________________________________________ are names of one and same person i.e. myself.
4. I say that this affidavit is sworn by me in order to produce the same before the ________________________________________________
5. The statement made herein are true to the best of my knowledge and belief.
Solemnly affirmed on this ____________ day of _____________
Place :-
Deponent.
Identified by :-