NON JUDICIAL STAMP PAPER OF RS. 10/-

AFFIDAVIT

I, ______________________________________________ R/o ______________________________________________________________________________________________________________________.do hereby solemnly affirm and declare under oath as under: -

1. That my permanent address is_______________________________________________________________________________________________________________________________.

2. That I belong to ______________ (Muslim/Christian/Sikh/ Buddhist/Parsi) minority community as notified by the Central Govt. of India.

3. That I am a citizen of India.4. That the particulars furnished above by me are correct and that I have not concealed or

misrepresented any facts.5. That this is my true statement.

DEPONENT

VERIFICATION: -

Verified at _____________________ on this ________________ that contents of the above affidavit are true to the best of my knowledge and belief and nothing has been concealed therefrom.

DEPONENT