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Affidavit for Late Birth Registration

This document contains an affidavit for late registration of birth in Chandigarh, India. It provides details about a child's birth including the date, location, attending doctor or midwife. It affirms that the child was not adopted and the birth details have not been previously registered or manipulated. The deponent requests registration of the child's birth and verifies the statement is true to their knowledge.

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Alappatt John Junior
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128 views1 page

Affidavit for Late Birth Registration

This document contains an affidavit for late registration of birth in Chandigarh, India. It provides details about a child's birth including the date, location, attending doctor or midwife. It affirms that the child was not adopted and the birth details have not been previously registered or manipulated. The deponent requests registration of the child's birth and verifies the statement is true to their knowledge.

Uploaded by

Alappatt John Junior
Copyright
© Attribution Non-Commercial (BY-NC)
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

CHANDIGARH ADMINISTRATION GOVERNMENT REGISTAR BIRTH & DEATH

e-JAN SAMPARK

AFFIDAVIT
AFFIDAVIT FOR LATE REGISTRATION OF BIRTH
I---------------------S/O resident of [Link] --------------------------------- do hereby Solemnly affirm and decline as under:1. That a male /female child was born to my wife Mrs.. At..on .The order this male/female child is 2. That the said male/female child was finally names as 3. That the delivery case was conducted by Dr./Dairesidence of [Link] 4. That the said male/female child name is real and natural child of Mrs.. W/o [Link] not been adopted by Mrs W/[Link] shs/o sh. Either through court sub Magistrate or otherwise. 5 That the said event of birth of male /female child has not been registered previously either by the deponent of Doctor or dai. 6 That the data and place of birth of this male/female child has not been changed /manipulated. 7 That the deponent prey for the registration of birth of this male/female child. DEPONENT VERIFICATION:Verified that the above statement of mine are true and correct to the best of my knowledge and nothing has been concealed therein . Verified at Chandigarh on. DEPONENT

________________________________________________________________________

e -JAN SAMPARK : Information Gateway of Chandigarh Administration : 1 of

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