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Kaagazaat

Dependent Certificate Affidavit

At a glance

Price
Free, always.
Stamp duty
Punjab: Article 4, Schedule 1-A to the Indian Stamp Act, 1899 as applicable to Punjab, non-judicial stamp paper, commonly Rs 10, e-stamped via SHCIL (shcilestamp.com) or bought from a licensed vendor. Chandigarh: Article 4, Schedule I to the Indian Stamp Act, 1899 as extended to the Union Territory, non-judicial stamp paper, commonly Rs 10, from SHCIL or the Treasury, Sector 17.
Registration
Not a registrable instrument.
Witnesses
None required by law for the affidavit itself; it is authenticated by the notary's or attesting officer's seal alone.

Free

Free, always.

Free: up to 5 documents a day.

Guided questions, full draft on screen, download in Word.

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Also called

  • Dependant Certificate Affidavit
  • Dependency Affidavit
  • Affidavit of Dependants
  • ECHS Dependant Affidavit
  • Ex-Serviceman Dependant Declaration
  • आश्रित प्रमाणपत्र शपथ पत्र
  • ਆਸ਼ਰਿਤ ਸਰਟੀਫਿਕੇਟ ਹਲਫ਼ਨਾਮਾ

When you need it

For an ex-serviceman, a member of the Ex-servicemen Contributory Health Scheme (ECHS), or a serving or retired Government employee (or a member of their family) who must show which family members depend on them — where an office, a medical scheme or a department asks for a sworn affidavit naming the dependants and the way they depend. Filed with the Sewa Kendra, edistrict.punjabgovt.gov.in or the Tehsildar/SDM in Punjab, or the Deputy Commissioner's office or a Sampark centre in Chandigarh, or direct with the scheme or department that asked for it.

Read more

Not for the legal heirs of a person who has died — use the Affidavit of Legal Heirs. Not for a pension for an old or widowed person — use the Old Age / Widow Pension Affidavit. Not for a declaration of income — use the Income Affidavit.

Whether you can fill this in here

You can fill this in here

You can fill this one in on this site, and read the whole draft on screen before you decide anything about it. It is a carefully drafted template; it is not advice about your own facts.

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See stamp duty, registration and witnesses

What follows is written for Punjab and Chandigarh. It states the position there rather than describing how it varies, so the amounts below are the ones that apply — worth confirming at the sub-registrar’s office, because rates change. If the property is anywhere else in India, none of this is yours.

Stamp duty

Punjab: Article 4, Schedule 1-A to the Indian Stamp Act, 1899 as applicable to Punjab, non-judicial stamp paper, commonly Rs 10, e-stamped via SHCIL (shcilestamp.com) or bought from a licensed vendor. Chandigarh: Article 4, Schedule I to the Indian Stamp Act, 1899 as extended to the Union Territory, non-judicial stamp paper, commonly Rs 10, from SHCIL or the Treasury, Sector 17.

Registration

Not a registrable instrument. Annexed to, or filed together with, the application to the office, medical scheme or department that asked for it — an Ex-Servicemen records office, an ECHS polyclinic or the Station Headquarters, or the employee's own department — which checks the list against its records. Where a Tehsildar/SDM (Punjab) or the Deputy Commissioner's office (Chandigarh) issues the certificate, they may also call for a Patwari or field report. There is no Sub-Registrar step.

Notarisation

Sworn before a Notary Public (Notaries Act, 1952) or an Executive Magistrate/Oath Commissioner. Where sworn on the spot at a Sewa Kendra (Punjab) or Sampark centre (Chandigarh), that counter's own attesting officer may accept the affidavit in their presence in place of prior notarisation — confirm with the specific counter first.

Witnesses

None required by law for the affidavit itself; it is authenticated by the notary's or attesting officer's seal alone.

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Sample preview — placeholder answers, not your data

DEPENDENT CERTIFICATE AFFIDAVIT

Executed at Jalandhar 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. 1. THE SPONSOR

1.1 I am the person named in paragraph 1.2 below, who is the sponsor.

1.2 Sh. Balwinder Singh is an ex-serviceman.

1.3 The particulars of that service or membership are: Havildar, Sikh Regiment, retired 2012; service number and PPO number as printed on the discharge book / PPO.

  1. 2. THE DEPENDANTS

2.1 The following persons are dependent on Sh. Balwinder Singh for their maintenance:

  1. 1. Gurpreet Kaur, wife, 58, lives with him; 2. Manpreet Singh, son, 22, full-time student, no income

2.2 I declare that none of the persons named in paragraph 2.1 has any independent income of their own.

  1. 3. PURPOSE

3.1 This affidavit is sworn in support of an application for a dependent certificate, needed for: Enrolment of dependants at the ECHS polyclinic, Chandigarh.

3.2 I undertake to inform the receiving office if any person named above ceases to be dependent, marries, starts earning, or dies, or if any other particular stated here changes, and I understand that the certificate may be withheld or cancelled if any statement made here is found false.

  1. 4. DECLARATION

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

VERIFICATION

Verified at Jalandhar 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 Jalandhar, the Deponent having been identified to my satisfaction by Aadhaar 4444 5555 6666.

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

Questions about this document

Does the Dependent Certificate Affidavit need stamp paper or stamp duty in Punjab and Chandigarh?

Punjab: Article 4, Schedule 1-A to the Indian Stamp Act, 1899 as applicable to Punjab, non-judicial stamp paper, commonly Rs 10, e-stamped via SHCIL (shcilestamp.com) or bought from a licensed vendor. Chandigarh: Article 4, Schedule I to the Indian Stamp Act, 1899 as extended to the Union Territory, non-judicial stamp paper, commonly Rs 10, from SHCIL or the Treasury, Sector 17.

See the full position on stamp duty, registration and witnesses
Does the Dependent Certificate Affidavit need registration in Punjab and Chandigarh?

Not a registrable instrument.

See the full position on stamp duty, registration and witnesses
What does the Dependent Certificate Affidavit cost on Kaagazaat?

Free, always.

Does the Dependent Certificate Affidavit need witnesses?

None required by law for the affidavit itself; it is authenticated by the notary's or attesting officer's seal alone.

See the full position on stamp duty, registration and witnesses

Often needed with this document

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