Affidavit Of Birth Form printable pdf download

Affidavit Of Birth Form

AFFIDAVIT OF BIRTH

I, _______________________________ make the following statement under oath:

(Name of person signing affidavit)

1. I am a _________________________________________.

(Citizen, permanent resident, asylee, etc.)

2. I was born at_______________________________ on _____________________

(Place of birth – city, country)

(Dated of birth)

3. I presently reside at__________________________________________________

(Complete address)

4. My telephone number is ______________________________________________

5. I have known____________________________ since ______________________

(Name)

(Date)

6. I am his / her ______________________________________________________

(Uncle, aunt, brother, sister, parent, friend, etc.)

7. I have personal knowledge that ___________________________________ is the

(Name)

Son/ Daughter of _________________________ and _____________________.

(Mother’s maiden name)

(Father’s name)

8. I _____________________present at his/her birth.

(was or was not)

9. He/ She was born on _____________________ at _________________________

(Date of birth)

(Place of birth – City, Country)

10. the birth record is not available because:

______ Birth records are not available in my village, town or city;

______ the birth was never registered with the appropriate authorities;

Affidavit Of Birth Form