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Agniveer Affidavit Format Sample

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0% found this document useful (0 votes)
323 views1 page

Agniveer Affidavit Format Sample

Uploaded by

sivaprasadburri8
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

Appendix

NON JUDICIAL STAMP PAPER

(SUGGESTED FORMAT FOR AFFIDAVIT)

1. I, Name________________Son of ____________________
while applying for enrolment in Army solemnly affirm & state the
following in my respect:-

(a) I belong to the following Caste/Religion:-

Caste_________Sub Caste__________Religion__________
Passport size photo
(b) My Residential Addresses are as under:- 3.5 x 4.5 cm

(i) Permanent Address (Address as per Nativity/Permanent


Resident Certificate).

Father’s Name___________________House No _______________


Vill/Mohalla_____________________Tehsil___________________
Distt___________________________ State__________________

(ii) Postal Address.

Father’s Name___________________House No _______________


Vill/Mohalla_____________________Tehsil___________________
Distt___________________________ State__________________
(c) I am married/unmarried

(d) I hereby certify that I am not involved in any civ/criminal case


OR
Following court cases/FIR are pending against me :-

(i) ______________
(ii) ______________

(e) Consent Certificate. I am below 18 yrs and my parents give their consent, for
attending the Army Rect Rally. (if applicable) Sig of Father_________

(f) I am authorized to attend UHQ rally because I am son / brother of No _________


Name _____________Regt_________________.

(g) I hereby certify that I son of No _____________ Name ________________


Regt_____________ is eligible for claiming bonus mks as non of my brothers have been
enrolled in Army earlier / I am not eligible to claim bonus mks (Cut whichever is not
applicable).

2. I give an undertaking that all documents submitted by me are correct. All documents issued
by govt org/offices have been signed by authorized designated and govt officials. If any docu at any
stage is found fake, I am aware that I will be dismissed from service and FIR will be lodged against
me.

Signature of Notary Signature of Candidate

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