AFFIDAVIT FOR DEATH CERTIFICATE

PROFORMA OF AFFIDAVIT FOR OBTAINING DEATH CERTIFICATE

(Affidavit to be submitted alongwith the application of Rs.2/- Non judicial stamp paper duly attested by Oath Commissioner/Notary Public.)

AFFIDAVIT

I ________________________ S/o , D/o, W/o ______________________ R/o _____________________________ do hereby solemnly affirm and declare as under:

  1. That Sh./Smt./Ku. _____________________ expired on ___________ ___________________________________.
  2. That the deceased is my ____________________________.
  3. That due to inadvertance, I did not register the date of death of ___________________ with the concerned department.
  4. That it is my true statement.

Deponent

Verification

Verified on _________________ at Delhi that the contents of the affidavit are true & correct to the best of my knowledge and belief and nothing has been concealed therein.

Deponent

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