Affidavit of Lost of Any Certificate – Oath

AFFIDAVIT

 

I, _______________-son of ___________________ resident of ______________________, declare on oath that my qualifying/passing certificate issued by the ____________________________ Board of having passed the ________________ examination in the year _______-__ from ________________________________ School has been actually lost and that is my true statement. My Roll Number was ________________ 

 

Sworn before me on this day of __________ (Date)

 

Signature of Candidate/Deponent

Permanent Address:- ____________________