I, __________, __________ __________, aged __________ years, resident of __________, Aadhaar No. __________, being the head of my family for ration card purposes, do hereby solemnly affirm and declare as under:
That the members of my family, to be covered by this application, are: __________.
That this affidavit is sworn in support of my application for __________.
That none of the members named above holds, or is included in, any other ration card issued anywhere in India, and that I have not concealed any such other card.
That the particulars given above and in the accompanying application are true, and I undertake to inform the Department promptly if any of them changes.
That the contents of this affidavit are true to the best of my knowledge and belief, and I am aware that obtaining a ration card, or a corrected entry on it, on a false declaration is an offence and renders the card liable to cancellation.
VERIFICATION
Verified at __________ on __________ that the above is true and correct.
DEPONENT __________
Signature: ______________________________
Sworn/Attested before me this __________ at __________.
NOTARY PUBLIC / OATH COMMISSIONER / ATTESTING OFFICER Name: ______________________________ Seal and Signature: ______________________________
AFFIDAVIT FOR RATION CARD
I, __________, __________ __________, aged __________ years, resident of __________, Aadhaar No. __________, being the head of my family for ration card purposes, do hereby solemnly affirm and declare as under:
That the members of my family, to be covered by this application, are: __________.
That this affidavit is sworn in support of my application for __________.
That none of the members named above holds, or is included in, any other ration card issued anywhere in India, and that I have not concealed any such other card.
That the particulars given above and in the accompanying application are true, and I undertake to inform the Department promptly if any of them changes.
That the contents of this affidavit are true to the best of my knowledge and belief, and I am aware that obtaining a ration card, or a corrected entry on it, on a false declaration is an offence and renders the card liable to cancellation.
VERIFICATION
Verified at __________ on __________ that the above is true and correct.
DEPONENT __________
Signature: ______________________________
Sworn/Attested before me this __________ at __________.
NOTARY PUBLIC / OATH COMMISSIONER / ATTESTING OFFICER Name: ______________________________ Seal and Signature: ______________________________