AFFIDAVIT

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Stamp Paper Details

Stamp Paper Value:	₹100/- (One Hundred Rupees Only)
Stamp Vendor:	Licensed Stamp Vendor, Delhi
Serial No.:	IN-DL12345678901234
Date of Purchase:	1st January, 2025

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AFFIDAVIT

I, the undersigned, do hereby solemnly affirm and declare as follows:

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Deponent Details

Full Name:	RAJESH KUMAR SHARMA
Father's/Husband's Name:	Shri SURESH KUMAR SHARMA
Date of Birth:	15th August, 1990
Age:	34 Years
Gender:	Male
Occupation:	Business / Self-Employed
Nationality:	Indian
Religion:	Hindu

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Current Address

House No./Flat:	45-B, Second Floor
Street/Locality:	Rajendra Nagar
City/Town:	New Delhi
State:	Delhi
PIN Code:	110060
Residing Since:	January 2020

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Permanent Address

House No./Village:	Village Rampur
Post Office:	Rampur
Tehsil:	Hapur
District:	Ghaziabad
State:	Uttar Pradesh
PIN Code:	201001

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Identity Documents

Document	Number
Aadhaar Number:	XXXX-XXXX-1234
PAN Number:	ABCPS1234K
Voter ID:	ABC1234567
Passport No.:	A1234567 (Valid till: Dec 2030)
Driving License:	DL-0420200012345

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Purpose of Affidavit

☑️ Name Change / Correction

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DECLARATION

I, RAJESH KUMAR SHARMA, son of Shri SURESH KUMAR SHARMA, aged about 34 years, resident of 45-B, Second Floor, Rajendra Nagar, New Delhi - 110060, do hereby solemnly affirm and state on oath as follows:

1. Personal Details

That I am the deponent above named and am fully competent to swear this affidavit.

2. Statement of Facts

That I hereby declare and affirm that:

My name has been recorded differently in various documents as follows:

Document	Name Recorded
Aadhaar Card	RAJESH KUMAR SHARMA
PAN Card	RAJESH K SHARMA
10th Marksheet	RAJESH SHARMA
Passport	RAJESH KUMAR SHARMA

I hereby confirm that all the above names belong to the same person, i.e., myself, and my correct name is RAJESH KUMAR SHARMA.

3. Declaration of Truth

That the above statements are true to the best of my knowledge and belief, and nothing material has been concealed therefrom.

4. Legal Understanding

That I understand that making a false statement in an affidavit is punishable under the Indian Penal Code and other applicable laws.

5. Undertaking

That I undertake to inform the concerned authorities in case of any changes in the above-mentioned details.

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Alternative Affidavit Purposes

Delete sections not applicable:

For Address Proof

I declare that I have been residing at the above-mentioned address since [DATE] and the same may be treated as my current residential address for all official purposes.

For Date of Birth Correction

I declare that my correct date of birth is [DATE] as per my birth certificate/school records, and the same may be corrected in the relevant document.

For Income Declaration

I declare that my total annual income from all sources for the Financial Year [YEAR] was ₹[AMOUNT] and I am liable/not liable to pay income tax.

For Gap Period (Education/Employment)

I declare that during the period from [START DATE] to [END DATE], I was [REASON: preparing for competitive exams / caring for family / health issues / etc.] and was not employed or enrolled in any educational institution.

For Lost Document

I declare that my [DOCUMENT NAME] bearing number [NUMBER] has been lost/misplaced on [DATE] at [LOCATION]. I have lodged an FIR/NCR with [POLICE STATION] vide [FIR NUMBER] dated [DATE].

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Verification

I, the above-named deponent, do hereby verify that the contents of this affidavit are true and correct to the best of my knowledge, and nothing material has been concealed therefrom. No part of it is false.

Verified at New Delhi on this 1st day of January, 2025.

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Deponent Signature

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Before the Notary / Oath Commissioner

Notary Attestation

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Witness Details (Optional)

Witness 1

Name:
Address:
Signature:	_________________________

Witness 2

Name:
Address:
Signature:	_________________________

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