Before ,

The Executive Magistrate,

Gaya .

AFFIDAVIT

Date of Birth

I Anil Paswan aged 42 about years, father name Shree Basudeo Paswan
mohalla Mastipur P.S. Bodhgaya District Gaya do hereby solemnly declare as
under:

1. Name of the child/children Saurav Kumar

2. Name of parents
a) Father Anil Paswan
b) Mother Kalawati Devi

3. Sex of child male

4. Date of birth 05/05/2013
5. Place of birth Bodhgaya
6. Reason if any the birth was not
registered within rescribed period no knowledge
7. relationship with the deponent son
8. That I further declare that birth of the said Rahul Kumar has not been
registered in the office birth and deat (Municipal) Corporation or any
where throughout India.

Verification

I Anil Paswan do hereby declare that the contents of this affidavit from Para 1
to 8 are true to best of any knowledge and belief.

Verified and sign date: