AFFIDAVIT FOR DELAYED REGISTRATION OF BIRTH
I, Simran Kaur, mother of the child named below, resident of House No. 55, Guru Nanak Nagar, Jalandhar 144001, do hereby solemnly affirm and declare as under:
- 1. That I am the deponent above named and am competent to swear this affidavit.
- 2. That a male child, named Ekam Singh, was born on 1 April 2026 at Civil Hospital, Jalandhar, to Gurmail Singh (father) and Simran Kaur (mother), then residing at House No. 55, Guru Nanak Nagar, Jalandhar 144001.
- 3. That the fact of birth is evidenced by a hospital discharge summary or birth record
- 4. That this birth has not previously been registered under the Registration of Births and Deaths Act, 1969.
- 5. That the birth could not be registered within the twenty-one days ordinarily allowed under that Act because The birth occurred at home in a village with no ready access to the Registrar's office, and the family was unaware that registration within twenty-one days was compulsory.
- 6. That the date of birth falls between thirty days and one year from the date of birth, so that registration requires the written permission of the Registrar (or other officer prescribed for the purpose) and this affidavit, under sub-section (2) of section 13 of the Registration of Births and Deaths Act, 1969
- 7. That I request the Registrar (Births & Deaths), Municipal Corporation, Jalandhar, the State of Punjab, to register this birth accordingly.
- 8. That the contents of this affidavit are true and correct to my knowledge, no part of it is false, and nothing material has been concealed therefrom.
DEPONENT
VERIFICATION
Verified at Jalandhar on 2 April 2026 that the contents of paragraphs 1 to 8 above are true and correct to my knowledge, that no part of it is false and that nothing material has been concealed therefrom.
DEPONENT