Affidavit
I, ---------------- ( W/O, )-------------------------R/O------------------------ do hereby solemnly affirm and declare as under:-
1. That the exact spelling of the name of my ( father / mother / child ) is
--------------------------------
2. That at the time of Registration ( Birth ) the ( name ) was entered as ----------------------------------
3. That I hereby declare that the correct name / mother name/ is --------------
4. That I further declare that the place of occurrence ( birth ) is as
follows-----------------
That this is my true statement
Deponent
Verification
Verified at .................... on this -----------day of-----------------month-------------------year that the content of this affidavit are true to b best of my knowledge and nothing has been concealed thereform.