Fill in Non-Availability of Birth Certificate Affidavit

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Non-Availability of Birth Certificate Affidavit

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NON-AVAILABILITY OF BIRTH CERTIFICATE AFFIDAVIT

I, __________, __________, resident of __________, holding __________, ordinarily resident within __________ (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:

1. THE PERSON CONCERNED

2. NO BIRTH CERTIFICATE

2.1 The birth of the Subject was never registered with any Registrar of Births and Deaths, and no birth certificate exists for the Subject.

3. OTHER PROOF OF THE DATE OF BIRTH

4. PURPOSE

4.2 I understand that this affidavit does not register the birth, and that the authority concerned decides for itself whether it will accept this affidavit in place of a birth certificate.

5. DECLARATION

5.1 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material. I am aware that making a false declaration in an affidavit is an offence.

VERIFICATION

DEPONENT

Signature: ______________________________
__________

ATTESTATION

Notary Public / Oath Commissioner
Registration No. and seal: ____________________

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