SINGLE GIRL CHILD

शपथकर्ता का विवरण :



बच्चे का विवरण :
बच्चे की जन्मतिथि :


BEFORE THE NOTARY CIVIL DISTRICT BILASPUR (C.G.)
SINGLE GIRL CHILD
AFFIDAVIT

     I text01 aged text02 years, Indian Inhabitant occupation Resident of text03 is mother/father of text04 Date of Birth text05 Submitting my undertaking to the Head of the Institution in Class text06 With text07 (Admission Guidelines 2020)
1. I here by declare that Miss text04 is the only girl child in my family (with no male/female sibling). I understand that it shall be my sole responsibility to inform you about any change in status of single girl child in the family immediately, if and when it occurs.
2. I am also aware that in case it is detected at any time that the affidavit sworn by me is false, appropriate action will be taken by the school authorities and text07 against me.

Signature of father Signature of mother
Residential address with
text03
Contact number: text08
Solemnly affirmed at Bilaspur (C.G.)
This ………… day of ………………
BEFORE ME

Explained and Identified by me.