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Affidavit For Dely in Aplying For Death Certificate

The affadavit summarizes that Mr. [name] is [relation] to the deceased [name] who passed away at [address] on [date] but the death was not registered within 30 days due to [reason]. Mr. [name] is making this affidavit to allow municipal authorities to register the death that occurred on [date] in the death register for the appropriate ward in order to accurately document the death.

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Prassad Batavia
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598 views2 pages

Affidavit For Dely in Aplying For Death Certificate

The affadavit summarizes that Mr. [name] is [relation] to the deceased [name] who passed away at [address] on [date] but the death was not registered within 30 days due to [reason]. Mr. [name] is making this affidavit to allow municipal authorities to register the death that occurred on [date] in the death register for the appropriate ward in order to accurately document the death.

Uploaded by

Prassad Batavia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AFFIDAVIT

I, Mr. ______________, age ________years, ___________ Indian Inhabitant of ______, [relation with the deceased]
of the deceased abovenamed, residing at _____________ [insert address], do hereby solemnly affirm and state as
under:

1. To my knowledge the death of _________ [insert name of deceased] aged ____ years, resident of
______________ [insert address of deceased] has not been registered within 30 days from the death due to
___________ in the family [explain the reason of delay].

2. I state that to my knowledge the death of _____________ took place at ____________ on _____________.

3. I am making this affidavit to enable the Municipal authorities to register the death occurred on ________ in the
death register of the __________ Ward of the Municipal Corporation of __________.

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

Solemnly affirmed/declared at Mumbai

This ___________ day of _____, 20__.

Identified by me Deponent

Before me

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