AFFIDAVIT FOR DUPLICATE LEAVING CERTIFICATE
I Shri Vijay Dadu Panhale an adult Indian inhabitant, residing at
Kohinoor Society,42/11, Sector 8, Sanpada, Navi Mumbai 400 705 do
hereby solemnly affirm as under:
1. That I have passed Higher Secondary School Examination through
Arvind Gandabhir High School, Jogeshwari(E), Mumbai 400 060 in the
year March,1988.
2. I say that I was issued the original school Leaving Certificate by the
school authorities, but the same is either lost or misplaced and the same is not
traceable in spite of my all efforts.
3. I say that I require the duplicate school leaving certificate from the school
authorities for caste certificate purpose of my son.
4. I request the school authorities to issue me a duplicate leaving certificate in
lieu of my original lost certificate.
5. I agree and undertake to return the original school authorities indemnified
from and against any loss,claims etc.if occurred in future.
Place : Navi Mumbai
Date :
Singnature
(Vijay Dadu Panhale)