Specimen of Candidate Identification Affidavit

(To be executed on appropriate non-judicial stamp paper & attested by a Notary Public)

I, ___________________________________________________________________________,

Son/daughter of _______________________________________________________, residing at

_____________________________________________________________________________

_____________________________________________________________________________

Date of Birth_________________(dd/mm/yy), do hereby solemnly affirm and state as follows:

1. That I am continuously resident at the above mentioned address from_____________ years.

2. That I here by affix my photo and signature in this affidavit as proof of my signature and
Identity.

Place: Date:

DEPONENT

VERIFICATION

Verified on _________________(Date - dd/mm/yy) at _____________(Place) that the contents of

the above mentioned affidavit are true and correct.

DEPONENT

A candidate is
required to affix
his/her passport
size photograph
duly and identified
by a Notary Public.