Birth Certificate Affidavit Format PDF

Here’s a general affidavit format for Proof of Birth Certificate that you can use. This is usually required when a birth certificate is not available or when additional proof of birth is requested. You’ll need to print this on a non-judicial stamp paper (₹10/₹20 as per state rules) and get it notarized.


AFFIDAVIT FOR PROOF OF BIRTH

AFFIDAVIT

I, [Full Name of Deponent], son/daughter of [Father’s Full Name] and [Mother’s Full Name], resident of [Full Address], aged about [Age] years, do hereby solemnly affirm and declare as under:

  1. That I was born on [DD/MM/YYYY] at [Place of Birth – Village/Town, District, State, Country].
  2. That my father’s name is [Father’s Full Name] and my mother’s name is [Mother’s Full Name].
  3. That at the time of my birth, the event was not registered / Birth Certificate was not issued by the authorities.
  4. That this affidavit is made as a declaration of my date of birth for official purposes.
  5. That the facts mentioned above are true and correct to the best of my knowledge and belief, and nothing material has been concealed therein.

DEPONENT
(Signature/Thumb impression of Deponent)

Name of Deponent: _____________________


VERIFICATION

I, the above-named deponent, do hereby verify that the contents of this affidavit are true and correct to the best of my knowledge and belief. Verified at [City] on this [Day] of [Month, Year].

DEPONENT
(Signature)


Attachments (if required by authority):

  • Copy of Aadhaar Card / PAN Card / School Certificate / Hospital Record as additional proof.

Birth Certificate Affidavit Format Download

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