AFFIDAVIT FOR NON AVAILABILITY CERTIFICATE OF DEATH

 THIS IS AN EXAMPLE 

COPY BELOW ITEMS AND EDIT NAMES AND ADDRESS ACCORDING TO YOU

Before the notary public ………………

Affidavit

I, (Name)  s/o- Late............................ (father) & Late ............................ (mother), aged about …… years . R/o – ………………, Po………………P.S. – ………………. Dist. …………….. (State) do hereby take oath and solemnly affirm as follows: -

1.          That, I am the permanent resident of place mentioned above.

2.          That, unfortunately my father Late............................ s/o – Late ............................ (father) & Late ............................ (mother)  was died on dated ………………….  in our residential village leaving behind us.

3.          That owing to inadvertence and illiteracy I could not able to register the date of death of my father Late............................ before the authority/Registrar Birth & Death. Hence this delay.

4.          That, the statement furnished by me by virtue of this affidavit are true and authentic. Nothing concealed with this.

5.          That, I am in urgent need of a death certificate of my father Late............................ for official reference.

6.          That, I am swearing this affidavit before the Notary Public Titilagarh and to file the  same as documentary evidence before the concerned authority Birth and Death Registrar …………………. to obtain a death certificate in my favour on behalf my father Late............................, s/o – Late ............................ & Late ............................ as and when required for official reference.

Hence this affidavit.

 

                                                                                                                           Deponent

Drafted and got computerised by me. I read over and explain the contents of this affidavit in Odia which is admitted by the deponent to be correct.

I identify the deponent.

 

 

Advocate

I, do hereby verify and declare that the contents of this affidavit are true to the best of my knowledge and belief. Hence, I put my hand on this the …………. day of ……………… …...

 

 

                                                                             Deponent

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