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AFFIDAVIT
ANNEXURE D
We, (1) AHMED IQBAL HUSSAIN S/o Ahmed Hussain, aged about
49 Years, and
(2) ATSATH W/o Ahmed Iqbal Hussain, aged about 40 years, residing
at 323, Malandur Road, Right Side Uppahlli, Chikmagalur Taluk & District,
Karnataka State, solemnly declare and affirm the following :-

1. That we submit that we are both Indian citizen by birth and domicile.
2. That we got married on 10/05/1996 at Furkhaniya Shadi Mahal,
Chikmagalur, Chikmagalur District.
3. That our marriage was solemnized according to Muslim custom and
Rites and we are living together as married couple.
4. That our joint photograph is affixed below.
We swear in the name of God that the acts stated above are true and correct
to the best of our knowledge and belief.

1.

2.

Verification
Verified at Mangalore on this 30th day of October of the year 2014, that
the contents of our affidavit are true and correct to the best of our knowledge
and belief and material has been concealed there from.
Date : 30/10/2
Deponents

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