AFFIDAVIT

Affidavit of name S/o name R/o address

…………………..DEPONENT

I, the deponent above named do hereby solemnly affirm on oath as under:-

1. That the deponent is fully aware of the facts deposed below.

2. That the original ………….Grade Sheet, obtained From …………………………..Board of the
passing year ………………. has been lost ……………………………….on …………………….
3. That I did my …………… from ……………………..and my Roll no was ……………., I was
part of the batch of……………….., and the Grade Sheet was given to me in the school itself
after the result was declared and I passed the examination on ……………….
4. That if the said Grade Sheet is found in future I will submit the same to the concerned authority.
5. That I will not misuse the said Grade Sheet.
6. That I request to the concerned authority to please issue me the duplicate Grade Sheet
of………………………...
Name…………….
(DEPONENT)

Verification :-

I, the above named deponent, do hereby certify that the above given statement is true and correct
to the best of knowledge and belief and that nothing has been concealed therefrom.

VERIFIED AT _________________ DATE_______________TIME________________

Name………………..

(DEPONENT)