I ______S/o, D/o______Resident of _______ District____do hereby solemnly affirm and declare as follows:
1. That my permanent residence is Mohalla/Village______ P.O____ P.S____ Ward No____ Circle No.___ District______.
2. That I require a residential certificate.
That the contents of this affidavit are true and correct to the best of my knowledge and belief.