Sample Copy Of Affidavit To Be Sworn Before A Notary Public, Oath Commissioner, Judge Of Magistrate printable pdf download

Sample Copy Of Affidavit To Be Sworn Before A Notary Public, Oath Commissioner, Judge Of Magistrate

(Sample copy of Affidavit to be sworn before a Notary Public, Oath Commissioner,

Judge of Magistrate)

A F F I D A V I T

I, ______________________________ Son/Daughter of ______________ ______________

major in age (state here profession/occupation) resident of (state here Village, Taluka and State

in which you are residing) do hereby solemnly affirm and state on oath as under:

1. That I appeared for the _________________ Examination of the ________________

Programme of Goa University in the year _________ under Seat No. ___________.

2. That my Statement of Marks/Passing Certificate/Degree Certificate of the said

examination/s held in ________ is/are misplaced/lost/stolen and cannot be traced

despite of my best efforts for the reason/s mentioned below:

a) __________________________________________________________________.

b) ___________________________________________________________________.

3. That I have filed a Missing Article Report/ F.I.R. at the nearest Police Station at

_____________________ on __________ under Missing Report / F.I.R. No. _________

4. That I am swearing this affidavit in order to produce the same before the Controller of

Examinations, Goa University for obtaining duplicate Statement of Marks/Passing

Certificate/Convocation Degree.

5. That in the event the lost document/s is/are found, I hereby agree and undertake to

surrender the same to the University.

V E R I F I C A T I O N

I, (full name ___________________________________________________) on solemn

affirmation and oath state that all the facts stated in paragraphs 1 to 5 are correct to the best of

my knowledge and belief and nothing is false or concealed. The contents being true I swear

this affidavit.

Solemnly affirmed at ______________ on ____ day of ______ 20

Name of the Deponent

Before me.

Sample Copy Of Affidavit To Be Sworn Before A Notary Public, Oath Commissioner, Judge Of Magistrate