Date of Birth Correction Application

AFFIDAVIT

I, _______ S/o _____, resident of _____, do hereby solemnly affirm and declare as under :-

1- That the deponent is the resident of the above said address.
2- That the date of birth of the deponent is _____ (____).
3- That the date of birth of the deponent is wrongly mentioned in the office record as ____.
4- That the deponent wants to get corrected his date of birth in the office as _____ instead of ____.

Deponent

VERIFICATION :

Verified that the contents of my above affidavit are true to best of my knowledge and belief and nothing concealed therein.
Verified at ____ on _____

Deponent

Keywords: Name Change, Birth Certificate Affidavit, Date Correction Affidavit