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Wednesday, 01 September 2010 05:30

Download Fillable Statement Given by Two Credible Persons Correction in The Birth Report (Affidavit)

Download forms for state: Chandigarh
Form Details
StateChandigarh
DepartmentDistrict Registrar Birth and Death
TitleFillable Statement Given by Two Credible Persons Correction in The Birth Report (Affidavit)
LanguageEnglish
Document Size199.6 KB
Text of the PDF document(for quick reference)
CHANDIGARH ADMINISTRATION AFFIDAVIT Statement given by two credible persons (Correction in the Birth Report) I,S/oResident ofDo hereby solemnly Affirm and declare as under: --1.That a male /female child was born to Mrs.W/OOnChandigarh (Name of Hospital).2 That the name of the father/mother of the male/female child wrongly been/hasBeen mentioned as(per nick name).3.That the name of the father/mother mentioned asAt the hospital record is only his/her pet/nick name.4. That the correct and full name of the father/mother of the male/female child is (are) are 5. That Mrs. / Sh.is known by bothThe NamesAliasin her/his family.6. That there is not person Namedin his family.7. That the male/female child born onhas neitherBeen adopted or acquired either by Mrs. 8.That the said male/female child is the real and natural born to Mrs.w/o s/9. I Personally known to Sh.s/ofrom the lastPlace:Date:DEPONENTVerification: The contents of the above statement are true and correct to the best of my knowledge and belief and nothing has been concealed therein.
Last Updated on Friday, 17 December 2010 05:30
 

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