PROFORMA OF AFFIDAVIT FOR OBTAINING BIRTH CERTIFICATE
I ________________________ S/o, D/o, W/o ______________________ R/o
_____________________________ do hereby solemnly affirm and declare as under:
1. That the exact and correct date of Birth of my son/daughter __________________ is
____________________________ who born at ___________________.
2. That the name of the mother of may above said son/daughter is Smt._______________________.
3. That due to inadvertence, I did not register the date of birth of my above said daughter/son
_________________ with the concerned department at the time of birth.
Deponent
Verification: Verified at Delhi, this _____________ day ___________ that the contents of the affidavit are
true & correct to the best of my knowledge and belief and nothing has been concealed therein.
Deponent
Deponent