Duplicate School Leaving Certificate Affidavit

 

AFFIDAVIT

I, _________________ S/o Sh. ____________________ R/o _____________________________________________ do hereby solemnly affirm declare as under:-

1.     That I am permanent resident of the above address.

2.     That I was student of ___________________  class. In _____________________ in_______________ with Roll No.  _________________ and I had taken my school Leaving Certificate from the school.

3.     That my above said school Leaving certificate was completely destroyed in fire.

4.     That it is requested that Duplicate copy of this School leaving Certificate may please be issued to me.

5.     That in future I will take care utmost care of this Duplicate copy of school Leaving Certificate.

6.     That my above statement is true and if anything false is found any any stage  action U/S 182 of IPC may be taken against me.

DEPONENT

VERIFICATION:-

                                   Verified that the contents of the above affidavit are true and correct to the best of my knowledge and belief and nothing false has been stated therein. 

                                                                                                                               DEPONENT

Verified at _______________