Attested by Notary in case of Correction and Entry of Child Name in Birth Certificate Affidavit For Obtaining Death Certificate I, ----------------( S/O, W/O, D/O) --------------------------R/O------------------------do hereby solemnly affirm and declare as under: 1. That the exact spelling of the name of my ( father / mother /Child) is 2. That at the time of Registration ( Death ) the ( name / date /sex ) was entered as --------------------------------- 3. That I hereby declare that the correct name / father name / mother name/ deceased/ date / time/ sex) is ------------- 4. That I further declare that the place of occurrence ( death ) is as follows----------------- That this is my true statement Deponent Verification Verified at Jammu on this -----------day of-----------------month-------------------year that the content of this affidavit are true to b best of my knowledge and nothing has been concealed thereform. Deponent
