Affidavit Format

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Affidavit Format:
AFFIDAVIT OF Mr. / Ms. ---------------------------------------------------------------------------------
I, __________________________________________ S/O _____________________________
aged about _____________years and residing at ______________________________________
_________________________________________________________ do hereby solemnly
affirm and sincerely state as follows:
I state that I have lost my ____________ Mark sheet / degree certificate (Roll No.
_____________)
given in the year _________________ and if I do manage to recover or find the original
___________ certificate, I shall return the duplicate certificate to the concerned authorities at
NIT Durgapur.
The above mentioned facts are true and correct to the best of my knowledge, information and
belief.
Signature of the Deponent
Solemnly affirmed at ____________
on this _______ day of ___________
Deponent signed before me
and signed his/her name in my presence
Seal of the Notary

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