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Before,

The Notary Public/Executive Magistrate


..

(AFFIDAVIT)

I ..S/O, D/O .
Resident of P.O.
P.S ..District do hereby
solemnly affirm and declare as follows :
(1) That my permanent residence is Mohalla/Village
P.O..P.S..
Ward No Circle NoHolding No District....
(2) That I require a residential certificate.

That the contents of this affidavit are true and correct to the best of my knowledge
and belief.

Deponent
I, identify the deponent who has
signed in my presence.
Advocate

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