1. I,_______________________________ wife/son/daughter of
___________________
resident
of__________________________________________________________ do hereby solemnly
affirm and declare on oath as under:-
(a)
That I was married to
______________________on_____________.
(b)
That my
husband/father____________________died on___________
and I am his
widow/son/daughter.
(a)
That
I have not
re-married after the
death of my
husband
_________________________.
(b)
That I
am the same person whose signature and thumb impression are appended below:-
Signature
________________________
Thumb
Impression________________________
DEPONENT
VERIFICATION
Verified
at________________on this________________ day of___________________
that the
contents of the above affidavit are true
to the best of my knowledge and belief.
No part of this affidavit is wrong and nothing has been
concealed therefrom.
DEPONENT
NOTE:- This affidavit is required to be executed on
non-judicial stamp paper of Rs 10/- or value as prescribed by State Govt where
executed whichever is more and to be attested by First Class Magistrate or
Notary Public. Notarial
stamp of Rs 5/- are to be affixed on each if attested by Notary Public.