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tUe fjdkMZ esa uke tqM+okus gsrw वंय स या पत ?kks’k.kk i=
&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&
ge Jh--------------------------------------------¼firk dk uke½ ,oa Jherh ------------------------------------------------- ¼ekrk
dk uke½ fuoklh ------------------------------------------------------ftyk ------------------------ fuEu fyf[kr ?kks’k.kk
djrs gSa fd %&
1 gekjk/gekjh yM+dk/yM+dh ------------------------------------ ¼cPps dk uke½ gSA tks ftyk
jftLVªkj@uxj fuxe@uxj ifj’kn~@uxj ikfydk@izkFkfed@lkeqnkf;d LokLF; dsUnz--
---------------------------------------------------------- ds fjdkMZ o’kZ----------------------esa jftLVsª”ku la[;k---------------- -
jft- fnukad---------------------ij ntZ gSA ftlesa ekrk vkSj firk ds uke dze”k% ------------------------------
---- vkSj -------------------------------ntZ gSA ysfdu cPps ds uke dk dkWye [kkyh gSA
2 ge vius yM+ds/yM+dh dk uke tUe fjdkMZ ds [kkyh dkWye esa vc ntZ djokuk
pkgrs gSA
3 geus vius yM+ds@yM+dh dk eSfVªd@fefMy dk izek.k i= layXu fd;k gSA ftlesa
mldk uke--------------------------------tUe frfFk---------------------ekrk@firk dk uke dze”k%-------------------------
----------vkSj-----------------------------------------gSA
4 ge vuqjks/k djrs gSa fd esjs yM+ds@yM+dh dk uke fjdkMZ esa ----------------------------fy[k
fn;k tk,A
5 ge Hkfo’; esa vius yM+ds/yM+dh ds uke esa dksbZ ifjoZru ugh djsaxsA
6 gekjs fuEufyf[kr vkSj cPps gaS ftuds tUe dk fooj.k fuEuizdkj gS&
dz-la- uke tUe frfFk tUe LFkku ntZ gS ;k ugh
1-
2-
7 gekjs मेरे वारा दया गया उपरो त ?kks’k.kk प सह व दु त है इसम कोई भी त य
छपाया नह ं गया है। अगर भ व य म मेरे वारा दए गए कागजात अथवा द गई जानकार गलत
पाई जाती है, तो उसक पूण िज मेदार मेर होगी तथा IPC क धारा 415, 420, 120 बी और
182 क
े अंतगत कायवाह /द ड का भागीदार रहू ंगा
/ रहू ंगी।
माता क
े ह ता र ……………………..
माता का नाम ………………………………
पहचान प सं0...............
ID जार करने वाल सं था .....................
पता क
े ह ता र ……………………..
पता का नाम ………………………………
पहचान प सं0...............
ID जार करने वाल सं था .....................

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Joint Affidavit Format Birth Certificate Panchkula

  • 1. tUe fjdkMZ esa uke tqM+okus gsrw वंय स या पत ?kks’k.kk i= &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& ge Jh--------------------------------------------¼firk dk uke½ ,oa Jherh ------------------------------------------------- ¼ekrk dk uke½ fuoklh ------------------------------------------------------ftyk ------------------------ fuEu fyf[kr ?kks’k.kk djrs gSa fd %& 1 gekjk/gekjh yM+dk/yM+dh ------------------------------------ ¼cPps dk uke½ gSA tks ftyk jftLVªkj@uxj fuxe@uxj ifj’kn~@uxj ikfydk@izkFkfed@lkeqnkf;d LokLF; dsUnz-- ---------------------------------------------------------- ds fjdkMZ o’kZ----------------------esa jftLVsª”ku la[;k---------------- - jft- fnukad---------------------ij ntZ gSA ftlesa ekrk vkSj firk ds uke dze”k% ------------------------------ ---- vkSj -------------------------------ntZ gSA ysfdu cPps ds uke dk dkWye [kkyh gSA 2 ge vius yM+ds/yM+dh dk uke tUe fjdkMZ ds [kkyh dkWye esa vc ntZ djokuk pkgrs gSA 3 geus vius yM+ds@yM+dh dk eSfVªd@fefMy dk izek.k i= layXu fd;k gSA ftlesa mldk uke--------------------------------tUe frfFk---------------------ekrk@firk dk uke dze”k%------------------------- ----------vkSj-----------------------------------------gSA 4 ge vuqjks/k djrs gSa fd esjs yM+ds@yM+dh dk uke fjdkMZ esa ----------------------------fy[k fn;k tk,A 5 ge Hkfo’; esa vius yM+ds/yM+dh ds uke esa dksbZ ifjoZru ugh djsaxsA 6 gekjs fuEufyf[kr vkSj cPps gaS ftuds tUe dk fooj.k fuEuizdkj gS& dz-la- uke tUe frfFk tUe LFkku ntZ gS ;k ugh 1- 2- 7 gekjs मेरे वारा दया गया उपरो त ?kks’k.kk प सह व दु त है इसम कोई भी त य छपाया नह ं गया है। अगर भ व य म मेरे वारा दए गए कागजात अथवा द गई जानकार गलत पाई जाती है, तो उसक पूण िज मेदार मेर होगी तथा IPC क धारा 415, 420, 120 बी और 182 क े अंतगत कायवाह /द ड का भागीदार रहू ंगा / रहू ंगी। माता क े ह ता र …………………….. माता का नाम ……………………………… पहचान प सं0............... ID जार करने वाल सं था ..................... पता क े ह ता र …………………….. पता का नाम ……………………………… पहचान प सं0............... ID जार करने वाल सं था .....................