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    The declaration form collects information about the person whose birth was delayed including their name, date of birth, parents' names, and place of birth. It requires signatures from the candidate, their father and mother, and five local witnesses along with their address and ID details. The form aims to provide official documentation for those whose birth was not registered on time through verification by local community members.

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    5 Local Person Declaration Form PDF English _ PDF

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    The declaration form collects information about the person whose birth was delayed including their name, date of birth, parents' names, and place of birth. It requires signatures from the candidate, their father and mother, and five local witnesses along with their address and ID details. The form aims to provide official documentation for those whose birth was not registered on time through verification by local community members.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    962 views1 page

    5 Local Person Declaration Form PDF English - PDF

    Uploaded by

    Xdf
    The declaration form collects information about the person whose birth was delayed including their name, date of birth, parents' names, and place of birth. It requires signatures from the candidate, their father and mother, and five local witnesses along with their address and ID details. The form aims to provide official documentation for those whose birth was not registered on time through verification by local community members.

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    © All Rights Reserved
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    5 Local Person Declaration Form PDF English

    Uploaded by Ezaj Hossain on Mar 13, 2020

    Declaration form by local people for delayed registration of birth. Full description

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    DECLARATION BY LOCAL PEOPLE FOR DELAYED REGISTRATION OF BIRTH

    We are the local people, residing at Vill ………………………………………. P.O.…………………………………………..… 

    P.S.…………………………………… Dist.………………………………………….. Pin………………………… West Bengal.

    Do hereby solemnly affirm and declare under.

    A) That exact date of birth of …………………………………………….…. is ………………………………….……… 

    Born at Vill……………………...……… P.O.………………………………... P.S.………………………………...……… 

    Dist.…………………………………….. Pin……………………………………….. West Bengal.

    B) That his/her father is ……………………………………………………………………………………………………… 

    C) That his/her mother is …………………………………………………………………………………………………….

    The above information is true and correct to best of our knowledge and belief.

    Witness Details:

    Signature of
    Sl. No. Name of witness Epic no. of witness Address of witness
    witness

    1.

    2.

    3.

    4.

    5.

    Signature of candidate:………………………………… 

    Signature of father:………………………………………  Signature with stamp

    Signature of mother:……………………………………  Panchayat Pradhan

    Date:

    Place:

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