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  • SS A … A AAFFFFFFIIIDDDAAAVVVIIITT I,I,_____residing ... informationinfoinformationinformationisrmationisisgivenggivengiveninivenininthetththeaffidavit,heeaffiaffidavit,affidavit,appropriatedavit
1
SWORN AFFIDAVIT I, I, I, I, _______________________________ _______________________________ _______________________________ _______________________________ residing residing residing residing at at at at ___________________________________ ___________________________________ ___________________________________ ___________________________________ ______________________ ______________________ ______________________ ______________________ having having having having sworn sworn sworn sworn in in in in accordance accordance accordance accordance with with with with local local local local law, law, law, law, do do do do hereby hereby hereby hereby depose depose depose depose and and and and say: say: say: say: 1. 1. 1. 1. that that that that I am am am am married married married married 2 years years years years prior prior prior prior to to to to the the the the date date date date of of of of submission submission submission submission of of of of OCI OCI OCI OCI Application. Application. Application. Application. 2. 2. 2. 2. that that that that in in in in case case case case of of of of dissolution dissolution dissolution dissolution of of of of marriage, marriage, marriage, marriage, I will will will will notify notify notify notify and and and and return return return return the the the the OCI OCI OCI OCI Card Card Card Card to to to to the the the the Consulate. Consulate. Consulate. Consulate. 3. 3. 3. 3. that that that that I am am am am executing executing executing executing this this this this affidavit affidavit affidavit affidavit to to to to confirm confirm confirm confirm the the the the abovementioned abovementioned abovementioned abovementioned facts facts facts facts and and and and in in in in support support support support of of of of my my my my application application application application for for for for OCI OCI OCI OCI Card Card Card Card on on on on the the the the basis basis basis basis of of of of my my my my spouse. spouse. spouse. spouse. I hereby hereby hereby hereby declare declare declare declare that that that that the the the the above above above above particulars particulars particulars particulars are are are are true true true true and and and and agree agree agree agree that that that that in in in in case case case case any any any any false false false false information information information information is is is is given given given given in in in in the the the the affidavit, affidavit, affidavit, affidavit, appropriate appropriate appropriate appropriate action action action action can can can can be be be be taken taken taken taken as as as as per per per per Government Government Government Government of of of of India India India India Rules Rules Rules Rules and and and and Regulations Regulations Regulations Regulations against against against against me me me me including including including including but but but but not not not not limited limited limited limited to to to to revoking revoking revoking revoking of of of of issue issue issue issue of of of of OCI OCI OCI OCI Card Card Card Card including including including including penalty penalty penalty penalty and and and and any any any any other other other other action action action action as as as as deemed deemed deemed deemed fit fit fit fit by by by by the the the the Government Government Government Government of of of of India India India India or or or or its its its its agencies. agencies. agencies. agencies. Applicant's Applicant's Applicant's Applicant's Signature Signature Signature Signature Name Name Name Name Passport Passport Passport Passport No. No. No. No. Date Date Date Date : : _______________________ _______________________ _______________________ _______________________ : _______________________ _______________________ _______________________ _______________________ : _______________________ _______________________ _______________________ _______________________ : _______________________ _______________________ _______________________ _______________________ Spouse Spouse Spouse Spouse Signature Signature Signature Signature Name Name Name Name Passport Passport Passport Passport No. No. No. No. Date Date Date Date : : _________________________ _________________________ _________________________ _________________________ : _________________________ _________________________ _________________________ _________________________ : _________________________ _________________________ _________________________ _________________________ : _________________________ _________________________ _________________________ _________________________ (SIGNATURES OF THE APPLICANT AND SPOUSE ARE TO BE ATTESTED BY THE NOTARY)

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Page 1: SS A … A AAFFFFFFIIIDDDAAAVVVIIITT I,I,_____residing ... informationinfoinformationinformationisrmationisisgivenggivengiveninivenininthetththeaffidavit,heeaffiaffidavit,affidavit,appropriatedavit

SSSSWWWWOOOO RRRR NNNN AAAA FFFF FFFF IIII DDDD AAAA VVVV IIII TTTT

I,I,I,I, ____________________________________________________________________________________________________________________________ residingresidingresidingresiding atatatat ____________________________________________________________________________________________________________________________________________

________________________________________________________________________________________ havinghavinghavinghaving swornswornswornsworn inininin accordanceaccordanceaccordanceaccordancewithwithwithwith locallocallocallocal law,law,law,law, dodododo herebyherebyherebyhereby deposedeposedeposedepose andandandand say:say:say:say:

1.1.1.1. thatthatthatthat IIII amamamammarriedmarriedmarriedmarried 2222 yearsyearsyearsyears priorpriorpriorprior totototo thethethethe datedatedatedate ofofofof submissionsubmissionsubmissionsubmission ofofofof OCIOCIOCIOCI Application.Application.Application.Application.

2.2.2.2. thatthatthatthat inininin casecasecasecase ofofofof dissolutiondissolutiondissolutiondissolution ofofofof marriage,marriage,marriage,marriage, IIII willwillwillwill notifynotifynotifynotify andandandand returnreturnreturnreturn thethethethe OCIOCIOCIOCI CardCardCardCard totototo thethethethe Consulate.Consulate.Consulate.Consulate.

3.3.3.3. thatthatthatthat IIII amamamam executingexecutingexecutingexecuting thisthisthisthis affidavitaffidavitaffidavitaffidavit totototo confirmconfirmconfirmconfirm thethethethe abovementionedabovementionedabovementionedabovementioned factsfactsfactsfacts andandandand inininin supportsupportsupportsupport ofofofof mymymymyapplicationapplicationapplicationapplication forforforfor OCIOCIOCIOCI CardCardCardCard onononon thethethethe basisbasisbasisbasis ofofofof mymymymy spouse.spouse.spouse.spouse.

IIII herebyherebyherebyhereby declaredeclaredeclaredeclare thatthatthatthat thethethethe aboveaboveaboveabove particularsparticularsparticularsparticulars areareareare truetruetruetrue andandandand agreeagreeagreeagree thatthatthatthat inininin casecasecasecase anyanyanyany falsefalsefalsefalseinformationinformationinformationinformation isisisis givengivengivengiven inininin thethethethe affidavit,affidavit,affidavit,affidavit, appropriateappropriateappropriateappropriate actionactionactionaction cancancancan bebebebe takentakentakentaken asasasas perperperper GovernmentGovernmentGovernmentGovernment ofofofof IndiaIndiaIndiaIndia RulesRulesRulesRulesandandandand RegulationsRegulationsRegulationsRegulations againstagainstagainstagainst memememe includingincludingincludingincluding butbutbutbut notnotnotnot limitedlimitedlimitedlimited totototo revokingrevokingrevokingrevoking ofofofof issueissueissueissue ofofofof OCIOCIOCIOCI CardCardCardCard includingincludingincludingincluding penaltypenaltypenaltypenaltyandandandand anyanyanyany otherotherotherother actionactionactionaction asasasas deemeddeemeddeemeddeemed fitfitfitfit bybybyby thethethethe GovernmentGovernmentGovernmentGovernment ofofofof IndiaIndiaIndiaIndia orororor itsitsitsits agencies.agencies.agencies.agencies.

Applicant'sApplicant'sApplicant'sApplicant's

SignatureSignatureSignatureSignature

NameNameNameName

PassportPassportPassportPassport No.No.No.No.

DateDateDateDate ::::

:::: ____________________________________________________________________________________________

:::: ____________________________________________________________________________________________

:::: ____________________________________________________________________________________________

:::: ____________________________________________________________________________________________

SpouseSpouseSpouseSpouse

SignatureSignatureSignatureSignature

NameNameNameName

PassportPassportPassportPassport No.No.No.No.

DateDateDateDate ::::

:::: ____________________________________________________________________________________________________

:::: ____________________________________________________________________________________________________

:::: ____________________________________________________________________________________________________

:::: ____________________________________________________________________________________________________

(SIGNATURES OF THE APPLICANT AND SPOUSE ARE TO BE ATTESTED BY THE NOTARY)

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