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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
Identity.

this affidavit as proof of my s ignature and

3. That apart from this affidavit I have no other documentary proof in support of my residence.

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 canGLdate Ls rHquired
to affix within thH spDce
his/her pDVVport sizH
photograph duly Dnd
identified bya NoWary
Public, oWherwise his/her
application wLll Qot bH
considered.

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