(To be submitted in case of discrepancy in the Name of the Child or Date of Birth of the Child)

AFFIDAVIT

I, _____________________, father/ mother of _____________________________ resident of

___________________________________________ do hereby solemnly affirm and declare as under:

1. That I am a resident of the above said address.

2. That I am Father/ mother of _________________________ (CORRECT NAME) whose date of birth
is_________________ (Correct Date of Birth)
3. That my son/ daughter is provisionally admitted in Bal Bhavan International School, Gannaur vide
Admn No.-________ in the session ___________________.
4. The name of my Child is mentioned as __________________________________ and Date of Birth as
___/ _____/ ________ in Date of Birth Certificate issued by Registrar of Birth & Death vide Certificate
no. ________________________.
5. The name of my Child is mentioned as _______________________ and Date of Birth as ___/ _____/
________ in SLC issued by _____________________________________________________________
________________________ vide SLC No. ___________________ dated ____/ _______/ __________.
6. The name of my Child is mentioned as ___________________________________ and Date of Birth as
____/_______/__________. in Adhaar Card of my child. Aadhar Card No.
____________________________.
7. All the above mentioned documents have been issued to my Son/Daughter only and I stand responsible
for the discrepancy.
8. I request you to consider my child name as ______________________________ and Date of Birth as
_________________ in all school records.
9. I agree with all the terms & conditions laid by the school.

That my above statements are true and correct to the best of my knowledge, information and belief.
DEPONENT

Verified at ___________________ on this ___________ day of ______________ 20__ that the contents of
the above affidavit are true and correct to the best of my knowledge and that nothing material has been
concealed there from.

DEPONENT