I, _________ (Name) son/ daughter/ wife of _________, resident of _________ (address), do hereby solemnly affirm and declare as under:-

1- That _______.
2- ___________.
3- ___________.

Deponent

Verification:-

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

Verified at _______ on _______

Deponent