: A F F I D A V I T :
( LATE ISSUE BIRTH CERTIFICATE )
I, the undersigned _________________________ Aged about: ___ YEARS, Resident of: ____________________________, (State), INDIA do hereby solemnly affirm as under :
1. That I have filed an application for a Passport to go abroad for visit.
2. I am submitting my Late Issue & Duplicate Birth certificate issued by __________ MUNICIPAL CORPORATION, GUJARAT INDIA Dist.: ______ State: _______ Issued Date _______ for proof my date of birth and my place of birth is mentioned. So I make an affidavit and solemnly declare that: I issued Duplicate Birth Certificate.
3. I was born on Dated _________ AT: _______ DIST.: _______ STATE: __________.
This affidavit is prepared for Late Issued Birth Certificate to the passport authority which is true and correct.
Date:
Place:
__________________________________
