AFFIDAVIT
I, __________________________________________ S/o, D/o, W/o, __________________________________________ Aged ______ Yrs.,
R/o, ___________________________________________________________________________ solemnly affirm and state as under:
1. That my Name is entered as _________________________________________________________________ in the records of
Aadhaar/PAN/Voter ID __________________________________ is correct.
2. That my Date of Birth is entered as ______ /______ /___________ in the records of Aadhaar/PAN/Voter ID
__________________________________ is correct.
3. That my Father’s/Husband’s Name is entered as ______________________________________________________________
in the records of Aadhaar/PAN/Voter ID __________________________________ is correct.
That the signature and other details made by me in the records of Government IDs, Documents and also in
Other records is same as mentioned in this affidavit, which is certified by me for the purpose of loan applied
in Annapurna Finance Private Limited.
Specimen Name is
1. _____________________________________ 2. _____________________________________ 3. ____________________________________
Specimen Date of Birth is
1. _______ /_______ /___________________ 2. _______ /_______ /___________________ 3. _______ /_______ /___________________
Specimen Father’s/Husband’s Name is
1. _____________________________________ 2. _____________________________________ 3. ____________________________________
Specimen Signature is
1. _____________________________________ 2. _____________________________________ 3. ____________________________________
This affidavit is sworn by me for the validity of my Name, Date of Birth, Father’s/Husband’s Name, Address
and Signature.
Deponent
Verification
The above said contents are true to the best of my knowledge & belief and no material has been concealed.
Deponent
