Affidavit Format printable pdf download

Affidavit Format

AFFIDAVIT FORMAT

I____________________________________ w/o/d/o_________________________

r/o. __________________________________________ do hereby state on oath:

1. I say that I was born at ______________ and came down to Goa in the year

_______.

2. I say that I am residing at the above address for the last _________years.

3. I say that my name is recorded in the family ration card bearing no.

_____________________ of Village _______________ of __________Taluka.

4. I say that I have renounced my former domicile from the State of my Origin

i.e.____________.

5. I say that I will make Goa as my permanent place of residence and further

state that I have not claimed Domicile of any other State.

6. I say that I am swearing this affidavit in order to produce the same before the

Collector/District Magistrate, South Goa Margao, inorder to obtain a Domicile

Certificate which is required _________________________________.

7. I say that whatever stated above is true to the best of my knowledge and

belief and that no part of it is false.

Place :

Date :

Deponent

Affidavit Format