I, __________, __________ __________, aged __________ years, resident of __________, Aadhaar No. __________, do hereby solemnly affirm and declare as under:
That I ordinarily reside at __________, which is a rural area falling outside the limits of any Municipal Corporation, Municipal Council, Nagar Panchayat or area otherwise notified as urban.
That I have resided there __________.
That this affidavit is sworn for the purpose of __________, and I am aware that a Rural Area Certificate obtained on this affidavit is liable to verification against the Patwari's report and the electoral roll of the village named above.
That the contents of this affidavit are true to the best of my knowledge and belief, that I have concealed nothing material, and that I am aware a false declaration is punishable under law.
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 RURAL AREA CERTIFICATE
I, __________, __________ __________, aged __________ years, resident of __________, Aadhaar No. __________, do hereby solemnly affirm and declare as under:
That I ordinarily reside at __________, which is a rural area falling outside the limits of any Municipal Corporation, Municipal Council, Nagar Panchayat or area otherwise notified as urban.
That I have resided there __________.
That this affidavit is sworn for the purpose of __________, and I am aware that a Rural Area Certificate obtained on this affidavit is liable to verification against the Patwari's report and the electoral roll of the village named above.
That the contents of this affidavit are true to the best of my knowledge and belief, that I have concealed nothing material, and that I am aware a false declaration is punishable under law.
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: ______________________________