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AFFIDAVIT FOR DATE OF BIRTH

In support of request made to apply for change of Date of Birth :I, A SATHIYAVELU S/O:

AARUMUGAM Address at No.676 A, Mariyamman Koil street, Kannigaipair, Tiruvallur- 601102 do

hereby solemnly affirm and declare as follows:

1. That I am an Indian by nationality and my residing at the above mentioned address.

2. I state that I am familiar and well conversant with the facts and circumstances of the present matter
and competent and authorized to swear this affidavit and make necessary statement in respect thereof.

3. The application is hereby made for change the Date of Birth 15.08.1968 to 30.08.1968.

I solemnly state that the contents of this affidavit are true to the best of my knowledge and belief and that
it conceals nothing and that no part of it is false.
Place : Tiruvallur Signature by Deponent
Date : 27.01.2020

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