ANNEXURE "E"
AFFIDAVIT
I, Shri/Smt.__________________________________ son/daughter of ___________________________________________________ age _____________ resident of
__________________; Indian National do hereby on solemn affirmation state on oath as under:-
1. I say that I am residing at the above mentioned address along with my parents since birth.
2. I say that I belong to_______________ Community as my parents also belong to the same ___________ Community.
3. I say that I am swearing this affidavit in order to get O.B.C. Certificate from the Mamlatdar of ______________ in order to produce the same to _____________ for the purpose of ___________________________________.
4. I say that I am not belonging to the section (Creamy layer) mentioned in column 3 of the schedule of the Government of India Department of Personnel and Training O.M. No. 36012/22/95 ESTT (SCT) dated 08.09.1993 and that the annual income from all sources of my family is Rs.____________________.
5. I say that the contents of above paras of my affidavit are true to the best of my knowledge and belief and that I have not mispresented any facts.
Place :-
Date :-
Deponent
Identified by:-