Date of Birth Affidavit - sample
Executed on non-judicial stamp paper of Rs. 100/- (value as required by the authority concerned)
AFFIDAVIT FOR DATE OF BIRTH
I, Ramesh Kumar Sharma, son of Mohan Lal Sharma, aged about 35 years, a citizen of India, residing at House no., street, area, city, state - PIN (holding Aadhaar no. XXXX XXXX 4821), do hereby solemnly affirm and state on oath as under:
1. That I am a major, of sound mind and fully competent to swear this affidavit, and I am the deponent in this matter. I have personal knowledge of the facts stated below, unless I have said that a statement is based on a document or on information.
2. That the date of birth of myself / my son Aarav Sharma is 13/11/2026 (as recorded in the records of the family) and the place of birth is City, state.
3. That the birth of myself / my son Aarav Sharma was not registered with the Registrar of Births and Deaths of the local body at the time of birth, or the official record is not available / not traceable at present. The delay in registration was not due to any intention to mislead anyone.
4. That the above date of birth is supported by the following, and copies of the available documents are attached or will be produced: the school or college record, the hospital or midwife record, the horoscope or family register, the vaccination card, and the statements of the elders of the family who were present at the time of birth.
5. That I am the person who is competent and best placed to state this date of birth, being related to and having personal knowledge of myself / my son Aarav Sharma, and the date given above is the true date of birth.
6. That there is no discrepancy in the date of birth given in any other document of myself / my son Aarav Sharma, except where a document has been corrected on the basis of this affidavit and the supporting records. If a discrepancy is later noticed, I shall get the records corrected and inform the authority.
7. That this affidavit is being given for passport application, and I request the authority to accept the date of birth stated above and to make or correct the entry accordingly.
8. That I have not concealed any material fact and no part of this affidavit is false. I understand that making a false statement on oath, or using a false affidavit before an authority, is an offence and can lead to penal action and to cancellation of any benefit obtained on its basis.
9. That I shall produce the original documents referred to in this affidavit for inspection whenever the concerned authority asks for them, and I shall inform the authority at once if any fact stated here changes.
10. That this affidavit is made in good faith for passport application and for no other purpose, and I request the authority to accept it as true.
VERIFICATION
Verified at City on 13/11/2026 that the contents of this affidavit are true and correct to the best of my knowledge and belief, that nothing material has been concealed therefrom and that no part of it is false.
DEPONENT
Ramesh Kumar Sharma
| Attestation Identified by me and solemnly affirmed before me on ____________ at Jaipur by the deponent, who has signed in my presence after the contents were read over and explained to him / her in a language that he / she understands. Notary Public / Oath Commissioner Seal and registration no.: ____________ |