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Dual Name Declaration Form

The affidavit is a declaration by an individual affirming that they have two names, dual dates of birth, and dual signatures. The document lists the names, dates of birth as per various identification documents, and signatures. The deponent verifies the truthfulness of the affidavit's contents to the best of their knowledge.

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saileshkumarmohanty41
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1K views1 page

Dual Name Declaration Form

The affidavit is a declaration by an individual affirming that they have two names, dual dates of birth, and dual signatures. The document lists the names, dates of birth as per various identification documents, and signatures. The deponent verifies the truthfulness of the affidavit's contents to the best of their knowledge.

Uploaded by

saileshkumarmohanty41
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AFFIDAVIT

I……………………………………. Aged…………. Years. Resident of House Number

………………………………………………………in urban estate of………………………………………..do hereby solemnly


affirm and declare.

1. That I have two types of name

2. Both name menton below are mine

Name.1………………………… ……………………. Name 2………………………………………………………………………….

1. That I have dual date of Birth in documents.

2. All DOB menton below are mine

3. My Acual Date of birth is …............................

DOB as per Pan Card………………………….. as per Adhar Card………………………..as per other documents
(……………) correct DOB………………………….

1. That I have Dual Signature

2. Both signature menton below are mine

Sign 1. …………………………………….. sign 2. ……………………………………… correct Sign. …………………………

DEPONENT

Verify the contents of the above affidavit are true and correct to the best of my/our knowledge and
beliefs is fails and nothing has been concealed therein.

DEPONENT

Place:

Date:

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