AFFIDAVIT FOR OBTAINING DEATH CERTIFICATE

 

PROFORMA OF AFFIDAVIT FOR OBTAINING DEATH CERTIFICATE

(Affidavit to be submitted alongwith the application of Rs.2/- Non judicial stamp paper duly attested by Oath Commissioner/Notary Public.)

AFFIDAVIT

 

I ________________________ S/o , D/o, W/o ______________________ R/o _____________________________ do hereby solemnly affirm and declare as under:

1. That Sh./Smt./Ku. _____________________ expired on ___________ ___________________________________.

2. That the deceased is my ____________________________.

3. That due to inadvertance, I did not register the date of death of ___________________ with the concerned department.

4. That it is my true statement.

Deponent

Verification

Verified on _________________ at Delhi that the contents of the affidavit are true & correct to the best of my knowledge and belief and nothing has been concealed therein.

Deponent