PROFORMA OF AFFIDAVIT FOR OBTAINING DEATH CERTIFICATE Affidavit to be submitted alongwith the application of Rs.2/- Non judicial stamp paper duly attested by Oath Commissioner/Notary Public. AFFIDAVIT I ________________________ S/o , D/o, W/o ______________________ R/o _____________________________ do hereby solemnly affirm and declare as under: 1. That Sh./Smt./Ku. _____________________ expired on ___________ ___________________________________. 2. That the deceased is my ____________________________. 3. That due to inadvertance, I did not register the date of death of _________________________ with the concerned department. 4. That it is my true statement. Deponent Verification: Verified on _________________ at Delhi that the contents of the affidavit are true & correct to the best of my knowledge and belief and nothing has been concealed therein. Deponent
