ANNEXURE ‘D’

AFFIDAVIT

 We,    1. ________     (Maiden name of wife)

           2. ________    (Name of husband)       

       Solemnly declare and affirm as under:

1. That we are married under________Marriage Act/Rights/Customs and are living together as married couple since________   (Date of marriage)

2. That ________ would henceforth be known as_______  by virtue of our marriage.

3. That our joint photograph is affixed below.

 Date:

                                                                                    Signature & Address of Deponents
                                                                          1. ________

                                                                             2. ________