BIRTH / DEATH CERTIFICATE CORRECTION AFFIDAVIT
Executed at Ludhiana on 1 April 2026.
I, Simranjit Kaur, daughter of Sh. Gurmeet Singh, resident of House No. 212, Guru Nanak Nagar, Jalandhar, Punjab 144001, holding Aadhaar 4444 5555 6666, ordinarily resident within the State of Punjab (the "Deponent" or "I"), do hereby solemnly affirm and declare as follows:
- 1. THE CERTIFICATE
1.1 A birth certificate was issued in the name of Harleen Kaur, registration number B-2004-001234, by the Municipal Corporation, Ludhiana.
1.2 My relationship to the person named in that certificate (the "Subject") is: myself; or father; or son of the deceased.
- 2. THE ERROR
2.1 The entry that needs correction is: the name.
2.2 As the certificate now reads: Mother: Harpreet Kaurr.
2.3 As it should read: Mother: Harpreet Kaur.
2.4 The error arose as follows: The hospital staff spelt the mother's name wrongly when the birth was reported.
- 3. PROOF OF THE CORRECT PARTICULARS
3.1 The correct particulars are shown by the following document(s), copies of which are filed with the application for correction: School leaving certificate; the mother's Aadhaar card; hospital discharge slip
- 4. APPLICATION AND DECLARATION
4.1 This affidavit is sworn in support of my application to the Registrar of Births and Deaths who keeps the register in which the entry was made, for correction of the entry and issue of a corrected certificate.
4.2 Every statement made above is true to my own knowledge and belief, and I have concealed nothing material. I understand that the Registrar may verify the documents, may ask for further proof, and may decline to correct the entry on this affidavit alone. I am aware that making a false declaration in an affidavit is an offence.
VERIFICATION
Verified at Ludhiana on 1 April 2026 that the contents of paragraphs 1 to 4 above are true and correct to my own knowledge, that no part of it is false, and that nothing material has been concealed.
DEPONENT
Signature: ______________________________
Simranjit Kaur
ATTESTATION
Solemnly affirmed and signed before me on 1 April 2026 at Ludhiana, the Deponent having been identified to my satisfaction by Aadhaar 4444 5555 6666.
Notary Public / Oath Commissioner
Registration No. and seal: ____________________